Individual
ADAM JACOB POTTEIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
2300 N CHILDRENS PLZ, BOX 69, CHICAGO, IL 60614-3363
(773) 327-1270
Mailing address
2300 N CHILDRENS PLZ, BOX 69, CHICAGO, IL 60614-3363
(773) 327-1270
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-002730
IL
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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