Steven G Potaczek in Galesburg - Orthopaedic Surgery

Steven G Potaczek - NPI 1396846127

Steven G Potaczek is a Orthopaedic Surgery in Galesburg, Illinois. Steven G Potaczek practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Steven G Potaczek is 1396846127. The last update date is 2015-02-05.

Steven G Potaczek's current location address is 3315 N Seminary St, Galesburg, Illinois. You can contact this provider via phone number 3093441000 and fax number 3093441054. The mailing address for Steven G Potaczek is 3315 N Seminary St, Galesburg, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven G Potaczek
Address 3315 N Seminary St, Galesburg, Illinois
Phone Number 3093441000
Fax Number 3093441054
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1396846127
Provider Enumeration Date 2006-09-26
Last Updated Date 2015-02-05

Provider Mailing Address Detail

Address 3315 N Seminary St
City Galesburg
State Illinois (IL)
Post Code 614011251
Phone Number 3093441000
Fax Number 3093441054

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 36076331
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4314340 AETNA
364271985-36 JOHN DEERE
36076331 IL --
10595759 IL CAQH
4815127 BC/BS

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FAQs about Steven G Potaczek

What is the Steven G Potaczek's 1396846127?

The Steven G Potaczek's NPI (National Provider Identifier) Number is 1396846127. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Steven G Potaczek?

The Steven G Potaczek is physically situated at 3315 N Seminary St, in the city of Galesburg, state of IL, with the postal code 614011251.

What is the area of specialization for Steven G Potaczek, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Steven G Potaczek is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207X00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1396846127 to Steven G Potaczek?

The Centers for Medicare & Medicaid Services assigned the 1396846127 to Steven G Potaczek on 2006-09-26.

When was the Steven G Potaczek's information last updated?

The Steven G Potaczek's information was last updated on 2015-02-05.

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