Organization · Type 2 NPI

Paul Potach D.p.m.,p.c.

Non-Pharmacy Dispensing Site · Berwyn, IL

NPI number 1003418823 Active

Practice location

3100 Oak Park Ave
Berwyn, IL 60402-3291

Call (708) 484-3338 Map

Fax (708) 484-2059

Mailing address

3100 South Oak Park Ave
Berwyn, IL 60402

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: 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.)

4 other providers at this address

About NPI 1003418823

Paul Potach D.p.m.,p.c.'s National Provider Identifier is 1003418823, issued on Nov 16, 2020. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Berwyn, IL. The record was last updated on Nov 16, 2020.