Individual
DR. MICHAEL POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2780 MCFARLAND RD, PEDIATRICS, ROCKFORD, IL 61107-6807
(815) 971-3070
(815) 637-0040
Mailing address
2780 MCFARLAND RD, PEDIATRICS, ROCKFORD, IL 61107-6807
(815) 971-3070
(815) 637-0040
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036068700
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036068700
STATE LICENSE
IL
05
—
036068700
—
IL
Enumeration date
12/09/2005
Last updated
06/19/2015
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