Organization
ERIC N. POTOCKI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC N POTOCKI DC (OWNER)
(630) 310-0680
Entity
Organization
Contact information
Practice address
25W330 GENEVA RD, CAROL STREAM, IL 60188-2328
(630) 310-0680
Mailing address
25W330 GENEVA RD, CAROL STREAM, IL 60188-2328
(630) 310-0680
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0038010221
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232646
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/27/2006
Last updated
08/22/2020
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