NPIMap

Organization Active NPI

Paul Potach D.P.M. P.C.

Doing business as Dundee Foot & Ankle Center

  • Podiatrist
  • Wheeling, IL
National Provider Identifier
1336316942
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PAUL POTACH D.P.M. P.C.
Doing business as
Dundee Foot & Ankle Center
Practice address
31 W Dundee Rd
Wheeling, IL 60090-4863
Phone
(847) 215-1525
NPI assigned
May 13, 2008
Last updated
Mar 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul Potach, DPMNPI 1073627410
Title
President
Phone
(847) 215-1525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 016-004088 IL
Podiatrist 213E00000X Primary

Addresses

Primary practice location

31 W Dundee Rd
Wheeling, IL 60090-4863

Mailing address

31 West Dundee Rd
Wheeling, IL 60090-4863
Phone (847) 215-1525

Other names 1

  • Dundee Foot & Ankle Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091106000184 IL Part B Supplier - Clinic/Group Practice 8921146234 Receives reassigned benefits from 2 practitioners
Practice locations: Berwyn, IL; Buffalo Grove, IL; Chicago, IL; Long Grove, IL; Orland Park, IL; Wheeling, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Paul Potach Dpmpc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15174 S La Grange Rd
Orland Park, IL 60462
Phone (708) 460-3655

31 W Dundee Rd
Wheeling, IL 60090
Phone (833) 360-6388

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1336316942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WEST DUNDEE RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600904863",
            "telephone_number": "847-215-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W DUNDEE RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600904863",
            "telephone_number": "847-215-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL POTACH D.P.M. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "POTACH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-215-1525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IL",
            "license": "016-004088",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dundee Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.