PAUL POTACH D.P.M.,P.C.
NPI 1003418823
Non-Pharmacy Dispensing Site in Berwyn, IL

NPI Status: Active since November 16, 2020

Contact Information

3100 OAK PARK AVE
BERWYN, IL
ZIP 60402
Phone: (708) 484-3338
Fax: (708) 484-2059

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  • Organization
  • Non-Pharmacy Dispensing Site

About PAUL POTACH D.P.M.,P.C.

This page provides the complete NPI Profile along with additional information for Paul Potach D.p.m.,p.c., a provider established in Berwyn, Illinois operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1003418823 assigned on November 2020. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Paul Potach D.p.m. (Owner)

NPI
1003418823
Provider Name
PAUL POTACH D.P.M.,P.C.
Entity Type
Organization
Location Address
3100 OAK PARK AVE BERWYN, IL 60402
Location Phone
(708) 484-3338
Location Fax
(708) 484-2059
Mailing Address
3100 SOUTH OAK PARK AVE BERWYN, IL 60402
Mailing Phone
(708) 484-3338
Mailing Fax
(708) 484-2059
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-16-2020
Last Update Date
11-16-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PAUL POTACH D.P.M.

Authorized Official Title
OWNER
Authorized Official Phone
(708) 484-3338

Reviews for PAUL POTACH D.P.M.,P.C.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003418823
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003811684
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 8 + 1 + 1 + 6 + 8 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1003418823 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205883840 ELINA HUDSON MD
Individual
Family Medicine3100 OAK PARK AVE BERWYN
BERWYN, IL 60402
(708) 788-1005
1730249673HUDSON MEDICAL CENTER LTD
Organization
Family Medicine3100 OAK PARK AVE
BERWYN, IL 60402
(708) 788-1005
1275880270DR. FARAH PARVEEN MOHAMMED DPM
Individual
Podiatrist (Foot & Ankle Surgery)3100 OAK PARK AVE
BERWYN, IL 60402
(708) 484-3338

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003418823, enumerated in the NPI registry as an "organization" on November 16, 2020

The provider is located at 3100 Oak Park Ave Berwyn, Il 60402 and the phone number is (708) 484-3338

This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X

This NPI record was last updated on November 16, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.