Individual
RONALD K POTKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036065084
IL
207VX0201X
Gynecologic Oncology Physician
Primary
36065084
IL
Other
Enumeration date
02/15/2006
Last updated
11/11/2021
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