Individual
KELLY L POTTEIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
401 S STATE ST, CHICAGO, IL 60605-1229
(312) 935-4546
(312) 397-4544
Mailing address
1360.5 WEST ESTES 3S, CHICAGO, IL 60626
(773) 988-4147
(312) 397-4544
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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