Individual
DR. STACY POTWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1622 COMMONS DR, GENEVA, IL 60134-2531
(630) 232-8798
Mailing address
7171 W GUNNISON ST, APT 12M, HARWOOD HEIGHTS, IL 60706-3892
(312) 515-7486
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010321
IL
Other
Enumeration date
06/30/2009
Last updated
09/12/2010
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