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Paul Potach D.p.m.,p.c.
Non-Pharmacy Dispensing Site in Berwyn, Illinois
NPI 1003418823

Paul Potach D.p.m.,p.c. is a Non-Pharmacy Dispensing Site based in Berwyn, IL. Paul Potach D.p.m.,p.c. practices in Berwyn, IL. The NPI Number for Paul Potach D.p.m.,p.c. is 1003418823 and holds a License No. (Illinois).

The current practice location address for Paul Potach D.p.m.,p.c. is 3100 Oak Park Ave, Berwyn, IL and can be reached out via phone at 708-484-3338 and via fax at 708-484-2059.

Location: 3100 Oak Park Ave, Berwyn, IL, 60402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003418823
Provider Name
Paul Potach D.p.m.,p.c.
Credential
Provider Entity Type
Organization
Address
3100 Oak Park Ave, Berwyn, IL, 60402
Phone Number
708-484-3338
Fax Number
708-484-2059
Provider Enumeration Date
11/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3100 Oak Park Ave
City
Berwyn
State
Illinois
Zip
60402-3291
Phone Number
708-484-3338
Fax Number
708-484-2059
person
Provider Business Mailing Address Details
Address
3100 Oak Park Ave
City
Berwyn
State
Illinois
Zip
60402-3291
Phone Number
708-484-3338
Fax Number
708-484-2059
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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