Individual
JACQUELINE ANAI POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
11560 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-4517
(773) 520-1269
Mailing address
10621 S ALBANY AVE, CHICAGO, IL 60655-2113
(708) 573-7835
(708) 573-7835
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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