Potzick, Julie
Potzick, Julie is an sole proprietor health care provider with primary practice located at 25 N Winfield , Winfield IL 60190-1295. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Potzick, Julie can be contacted via phone (630) 933-1600.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036095357 | Illinois |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 36-95357 | Illinois |
Profile Details
| NPI number | 1689645202 |
|---|---|
| LBN Legal business name | Potzick, Julie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Apr 16th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689645202 | NPPES |
| Illinois | Other | F400127982 | MEDICARE PTAN (INDIVIDUAL) |
| Illinois | Other | 820800 | MEDICARE PTAN (INDIVIDUAL) |
| Illinois | MEDICAID | 03609537 | MEDICARE PTAN (INDIVIDUAL) |
| Illinois | Other | 920540034 | MEDICARE PTAN (INDIVIDUAL) |
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