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Individual

DR. MARK C. POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
722 W. MAXWELL ST., CHICAGO, IL 60612
(312) 996-2901
Mailing address
1919 W. TAYLOR ST., CHICAGO, IL 60612
(312) 996-4575

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-091362
IL

Other

Enumeration date
08/15/2006
Last updated
01/30/2014
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