CHARLES R. POTTER M.D. L.L.C. NPI 1538254727

NPI Details

CHARLES R. POTTER, M.D., L.L.C. is an otolaryngology in Decatur, IL. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. CHARLES R. POTTER, M.D., L.L.C. NPI is 1538254727. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1770 E LAKE SHORE DR
SUITE 306
DECATUR, IL
ZIP 62521-832
Phone: (217) 422-1199
Fax: (217) 422-1277

The provider's authorized official is Charles R Potter .
The authorized official title is Owner and has the following contact phone number (217) 422-1199.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 6/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: