PAUL POTACH D.P.M. P.C. (NPI# 1336316942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336316942 |
| Entity Type | Organization |
| Organization Name | PAUL POTACH D.P.M. P.C. |
| Other Organization Name | DUNDEE FOOT & ANKLE CENTER |
| Practice Address |
31 W Dundee Rd Wheeling IL 60090-4863 |
| Mailing Address |
31 West Dundee Rd Wheeling IL 60090-4863 |
| Practice Telephone | 8472151525 |
| Mailing Telephone | 8472151525 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2009-09-03 |
| Authorized Official Name | DR. PAUL POTACH (PRESIDENT) |
| Authorized Official Telephone | 8472151525 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
016-004088 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dundee Foot & Ankle Center | Doing Business As Name - Organization |
| Street Address |
31 W DUNDEE RD |
| City | WHEELING |
| State | IL |
| Zip Code | 60090-4863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235142605 | Jeffrey Blank | Podiatrist | 31 W Dundee Rd, Wheeling, IL 60090-4863 | 2006-08-15 |
| 1720501257 | Podiatry Service of America Corp | Podiatrist | 31 W Dundee Rd, Wheeling, IL 60090-4863 | 2017-07-17 |
| 1639420565 | Paul Potach, Dpm, PC | Non-Pharmacy Dispensing Site | 31 W Dundee Rd, Wheeling, IL 60090-4863 | 2012-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003320318 | Suhani Shail Shah | Pharmacist | Broadway Ave Pharmacy, 151 N 19th Ave, Melrose Park, IL 60090 | 2017-11-22 |
| 1164933479 | Vilija Ball | Psychologist | 307 S Milwaukee Ave Ste 103, Wheeling, IL 60090 | 2017-10-13 |
| 1184143117 | Jeremy Holtmeier | Psychologist | Wheeling School District 21, 999 West Dundee Road, Wheeling, IL 60090 | 2017-09-11 |
| 1326589128 | Nicole Tinetti | Student in an Organized Health Care Education/Training Program | 1410 Marcy Ln, Wheeling, IL 60090 | 2017-03-13 |
| 1881065365 | Melissa Theresa Ballak | Pharmacist | 1400 E Lake-cook Road, Wheeling, IL 60090 | 2015-10-09 |
| 1083031249 | Medtec Healthcare & Private Duty, LLC | Clinic/Center | 43 W Dundee Rd, Wheeling, IL 60090 | 2014-03-26 |
| 1508137464 | Kras Medical S.c. | Dentist | 1532 West Lale Cook Road, Wheeling, IL 60090 | 2012-01-24 |
| 1629351077 | Kedvon Pharmacy Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 56 South Milwaukee Ave., Wheeling, IL 60090 | 2011-09-22 |
| 1992038814 | Ida Neyman | Specialist | 45 Prairie Park Dr., Apt 503, Wheeling, IL 60090 | 2009-09-10 |
| 1396078275 | Funtastic Gymnastic LLC | Physical Therapist | 401 S. Milwaukee Ave, Suite 235, Wheeling, IL 60090 | 2009-09-10 |
| Find all providers in zip 60090 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399509 | G3 Medical LLC | Clinic/Center | 8751 S Greenwood Ave Ste 100, Chicago, IL 60619-7051 | 2020-08-31 |
| 1528610771 | Young Foot and Ankle | Clinic/Center | 1932 W Crystal St # 1, Chicago, IL 60622-3132 | 2019-07-09 |
| 1639455470 | Prairie Path Podiatry, P.C. | Clinic/Center | 4 S 6th St, Geneva, IL 60134-2163 | 2011-10-25 |
| 1902194673 | Ambulatory Medical Ltd | Clinic/Center | 24103 W Lockport St Ste 103, Suite 103, Plainfield, IL 60544-1722 | 2011-07-15 |
| 1194043539 | True Care Foot and Ankle Institute PC | Clinic/Center | 9500 W Lincoln Hwy, Unit 6, Frankfort, IL 60423-1939 | 2010-05-10 |
| 1528205168 | Associated Foot Surgeons of Joliet Ltd | Clinic/Center | 2204 Weber Road, Crest Hill, IL 60403 | 2009-01-20 |
| 1346407301 | Berwyn Foot & Ankle Center | Clinic/Center | 3100 South Oak Park Ave, Berwyn, IL 60402-3031 | 2008-05-19 |
| 1639343049 | The Medical & Surgical Center of Illinois | Clinic/Center | 3818 Nottingham Dr, Long Grove, IL 60047-5240 | 2008-04-16 |
| 1245415850 | Brookfield Podiatry Center | Clinic/Center | 14 S. Addison Street, Bensenville, IL 60106 | 2008-01-02 |
| 1700099868 | Dr. David F. Bowers P.C. | Clinic/Center | 2100 N Us Highway 12, Ste 201, Spring Grove, IL 60081-8308 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.