Organization
BERWYN FOOT & ANKLE CENTER
Active
Organization
BERWYN FOOT & ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL POTACH DPM (PRESIDENT)
(708) 484-3338
Entity
Organization
Contact information
Practice address
3100 SOUTH OAK PARK AVE, BERWYN, IL 60402-3031
(708) 484-3338
(708) 484-2059
Mailing address
3100 SOUTH OAK PARK AVE, BERWYN, IL 60402-3031
(708) 484-3338
(708) 484-2059
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
016004088
IL
Other
Enumeration date
05/19/2008
Last updated
09/04/2009
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