Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES R. POTTER, M.D., L.L.C.
Active OrganizationCHARLES R. POTTER, M.D., L.L.C. is a Otolaryngology organization located in DECATUR, Illinois. NPI 1538254727 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · DECATUR, IL
Registration Details
- NPI Number
- 1538254727
- Provider Type
- Organization
- NPI Issued
- Oct 4, 2006 (19.900758870034 yrs)
- Last Updated
- Jun 19, 2008
- License
-
036-065056 (IL)
Practice Information
- Address
-
1770 E LAKE SHORE DRSUITE 306DECATUR, IL, 625213832Browse IL providers · Browse ZIP 62521
- Phone
- 2174221199
- Fax
- 2174221277
- Primary Specialty
-
Otolaryngology
207Y00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.