Charles F Potter
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Charles F Potter, M.D. is a Springfield, Illinois based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Charles F Potter is
415 N 9th St, Springfield, Illinois - 62702-5317. He can be contacted on phone at
217-544-6464 and fax number 217-757-6844.
Charles F Potter is a sole proprietor of his business.
NPI number (Unique professional ID) for Charles F Potter is
1023092897 which was assigned by NPPES on 05 Dec, 2005 and it was last updated on 09 Sep, 2019.
Charles F Potter license number is
036-112376 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Illinois.
Charles F Potter is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Charles F Potter basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Charles F Potter |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Charles F Potter address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 415 N 9th St
Springfield, IL, 62702-5317
United States |
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| Phone Number : | 217-544-6464 |
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| Fax Number : | 217-757-6844 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1023092897 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Dec, 2005 |
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| Last Updated On : | 09 Sep, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles F Potter are as mentioned. Primary taxonomy code for Charles F Potter, M.D. is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 036-112376 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Charles F Potter such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 036112376 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 129 W Miller Dr
Mequon, WI, 53092-6189
United States |
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| Phone Number : | 262-825-8984 |
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| Fax Number : | 262-447-7330 |
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Business Location:
Patients can refer following map for directions to
Charles F Potter practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.