Search › Illinois › 363A00000X
Orie Potter, PAC MPAS
NPI 1477514958 · on the registry since 2006
Practice
- Address
- 1400 E Carroll
Macomb, IL 61455 - Phone
- (309) 833-2500
- Fax
- (309) 833-1760
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- IA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois