Potaczek, Angela Jean

Potaczek, Angela Jean is an individual health care provider with primary practice located at 120 S Marion St , Oak Park IL 60302-2809. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Potaczek, Angela Jean can be contacted via phone (708) 383-7500.

Contact Information

Primary practice address
120 S Marion St Oak Park IL 60302-2809
Phone: (708) 383-7500
Fax: (708) 383-7780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1891847588
LBN Legal business name Potaczek, Angela Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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