Potoski, Thomas M
Potoski, Thomas M is an sole proprietor health care provider with primary practice located at 4 Duncan Dr Suite C , Bourbonnais IL 60914-1083. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Potoski, Thomas M can be contacted via phone (815) 662-7757.Contact Information
Primary practice address
4 Duncan Dr Suite C
Bourbonnais IL 60914-1083
Phone: (815) 662-7757
Fax: (815) 928-9335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180-001413 | Illinois |
Profile Details
| NPI number | 1962795526 |
|---|---|
| LBN Legal business name | Potoski, Thomas M |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2011 |
| Last updated | Oct 5th, 2012 - about 14 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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