Benjamin Potter
Foot & Ankle Surgery
2525 S Michigan Ave
Chicago
, Illinois 60616
Benjamin Potter
Foot & Ankle Surgery
2525 S Michigan Ave
Chicago
, Illinois 60616
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Benjamin Potter
- 2525 S Michigan Ave
- Chicago, IL
- Zip : 60616-2315
- Phone :
Second Address
- Benjamin Potter
- 2525 S Michigan Ave
- Chicago, IL
- Zip : 60616
- Phone : (312) 567-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 135.001005 | IL |
National Provider Identifier
| NPI | 1063919793 |
|---|---|
| Provider Name | Benjamin Potter |
| First Address | Chicago, IL 60616-2315 |
| Second Address | Chicago, IL 60616 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2018 |
| Last Update Date | 09/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.