Individual
THERESA L POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
929 W HIGGINS RD, SCHAUMBURG, IL 60195-3203
(847) 285-4200
(847) 885-0130
Mailing address
929 W HIGGINS RD, SCHAUMBURG, IL 60195-3203
(847) 285-4200
(847) 885-0130
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000658
IL
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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