Individual
THERESA L POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSA
Contact information
Practice address
929 W HIGGINS RD, SCHAUMBURG, IL 60195-3203
(847) 285-4200
(847) 885-0131
Mailing address
929 W HIGGINS RD, SCHAUMBURG, IL 60195-3203
(847) 285-4200
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000658
IL
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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