Organization
PODIATRY SERVICE OF AMERICA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL POTACH D.P.M. (PRESIDENT)
(847) 215-1525
Entity
Organization
Contact information
Practice address
31 W DUNDEE RD, WHEELING, IL 60090-4863
(847) 215-1525
Mailing address
31 WEST DUNDEE, WHEELING, IL 60090
(847) 215-1525
(847) 215-7682
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
IL
Other
Enumeration date
07/17/2017
Last updated
08/28/2017
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