Individual
DR. ELIZABETH ANNE POTOCNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3825 HIGHLAND AVE STE 210, DOWNERS GROVE, IL 60515-1561
(630) 435-6107
(630) 435-6134
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-160985
IL
207V00000X
Obstetrics & Gynecology Physician
35135702
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0358100
—
OH
Enumeration date
03/31/2015
Last updated
08/17/2023
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