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1215217286
ISMENE POTAKIS
CHICAGO, IL
NPI
1215217286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085004104)
Enumeration Date
2011-08-23
Last Update Date
2021-08-24
Business Address
ISMENE POTAKIS PA-C
675 N SAINT CLAIR ST STE 14-200
CHICAGO, IL 60611-5966
Phone number: 126-957-5423
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Mailing Address
ISMENE POTAKIS PA-C
675 N SAINT CLAIR ST STE 14-200
CHICAGO, IL 60611-5966
Phone number: 312-695-7542
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