Potaczek, Barbara E

Potaczek, Barbara E is an sole proprietor health care provider with primary practice located at 155 E Brush Hill Rd , Elmhurst IL 60126. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Potaczek, Barbara E can be contacted via phone (331) 221-8952.

Contact Information

Primary practice address
155 E Brush Hill Rd Elmhurst IL 60126
Phone: (331) 221-8952
Fax: (331) 221-3782
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036113875 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036113875 Illinois

Profile Details

NPI number 1043290141
LBN Legal business name Potaczek, Barbara E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Oct 24th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043290141 NPPES
Illinois MEDICAID 036113875

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