Courtney Potempa in Chicago - Physician Assistant
Courtney Potempa - NPI 1265405021
Courtney Potempa is a Physician Assistant in Chicago, Illinois. Courtney Potempa practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Courtney Potempa is 1265405021. The last update date is 2019-06-05.
Courtney Potempa's current location address is 3934 N Lincoln Ave, Chicago, Illinois. You can contact this provider via phone number 7735491700. The mailing address for Courtney Potempa is 3934 N Lincoln Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtney Potempa |
|---|---|
| Address | 3934 N Lincoln Ave, Chicago, Illinois |
| Phone Number | 7735491700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1265405021 |
|---|---|
| Provider Enumeration Date | 2006-02-10 |
| Last Updated Date | 2019-06-05 |
Provider Mailing Address Detail
| Address | 3934 N Lincoln Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606132432 |
| Phone Number | 7735491700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85002257 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Courtney Potempa by the Centers for Medicare & Medicaid Services?
The Courtney Potempa has been assigned the NPI (National Provider Identifier) 1265405021 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Courtney Potempa?
The Courtney Potempa is physically situated at 3934 N Lincoln Ave, in the city of Chicago, state of IL, with the postal code 606132432.
What is Courtney Potempa's area of expertise and its corresponding taxonomy classification?
The Courtney Potempa's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Courtney Potempa receive the assignment of its 1265405021 from the Centers for Medicare & Medicaid Services?
The Courtney Potempa was issued its 1265405021 by the Centers for Medicare & Medicaid Services on 2006-02-10.
When was the information pertaining to Courtney Potempa most recently updated or revised?
The details related to Courtney Potempa, including its address, specialty, and other relevant information, were last updated or revised on 2019-06-05.