Ronald K Potkul, MD
Obstetrics & Gynecology, Gynecologic Oncology in Maywood, IL. Individual provider (NPI-1).
NPI number1619941523
StatusActive
Last updated in NPPESNov 11, 2021
Details
- NPI
- 1619941523
- Entity type
- Individual (NPI-1)
- Name
- Ronald K Potkul
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2006
- Certification date
- Nov 11, 2021
- Last updated
- Nov 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology, Gynecologic Oncology | 36065084 | IL | Yes |
| 207V00000X | Obstetrics & Gynecology | 036065084 | IL |
Practice location
2160 S First AveCardinal Bernadin Cancer Center
Maywood, IL 60153
Phone 708-216-8563 · Fax 708-216-2186
Mailing address
2160 S First AveMaywood, IL 60153
Phone 708-216-8563 · Fax 708-216-2186
Other practice locations
2216 W Thomas St
Chicago, IL 60622-3778
Chicago, IL 60622-3778
Phone 312-770-2272
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