Individual
JANNA POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2315
(312) 567-2446
Mailing address
1020 N CAMPBELL AVE APT 3, CHICAGO, IL 60622-4393
(217) 299-2351
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN95182549
CA
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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