Leo Joseph Potetti in Gurnee - Chiropractor
Leo Joseph Potetti - NPI 1780712711
Leo Joseph Potetti is a Chiropractor in Gurnee, Illinois. Leo Joseph Potetti practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Leo Joseph Potetti is 1780712711. The last update date is 2007-07-09.
Leo Joseph Potetti's current location address is 5101 Washington St, Gurnee, Illinois. You can contact this provider via phone number 8472492225 and fax number 8472490078. The mailing address for Leo Joseph Potetti is 5101 Washington St, Gurnee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leo Joseph Potetti |
|---|---|
| Address | 5101 Washington St, Gurnee, Illinois |
| Phone Number | 8472492225 |
| Fax Number | 8472490078 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1780712711 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 5101 Washington St |
|---|---|
| City | Gurnee |
| State | Illinois (IL) |
| Post Code | 600315916 |
| Phone Number | 8472492225 |
| Fax Number | 8472490078 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique identification code assigned to Leo Joseph Potetti by the Centers for Medicare & Medicaid Services?
The Leo Joseph Potetti has been issued the NPI (National Provider Identifier) 1780712711. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Leo Joseph Potetti?
The Leo Joseph Potetti is physically situated at 5101 Washington St, in the city of Gurnee, state of IL, with the postal code 600315916.
What is the Leo Joseph Potetti's specialty and taxonomy code?
The Leo Joseph Potetti's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780712711 to Leo Joseph Potetti?
The Centers for Medicare & Medicaid Services assigned the 1780712711 to Leo Joseph Potetti on 2007-03-01.
When was the information pertaining to Leo Joseph Potetti most recently updated or revised?
The details related to Leo Joseph Potetti, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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