Individual
ANGELA JEAN POTACZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 S MARION ST, OAK PARK, IL 60302-2809
(708) 383-7500
(708) 383-7780
Mailing address
1745 N NATOMA AVE, CHICAGO, IL 60707-3917
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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