MEDICARE: ARIANNA DEMETRA POTERES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149041040	IL

General Provider Information

NPI Number	:	1316895774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANNA DEMETRA POTERES

Provider Business Mailing Address
First Line	:	4622 N MAGNOLIA AVE APT 2N
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-4951
Country	:	US
Telephone Number	:	312-854-9373
Fax Number	:

Provider Business Practice Location Address
First Line	:	4622 N MAGNOLIA AVE APT 2N
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-4951
Country	:	US
Telephone Number	:	312-854-9373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	05/07/2026

Similar Medicare Providers

1770648271 — CENTRAL STICKNEY FIRE PROTECTION
Practice Location Address:

4951 S LOTUS AVE
CHICAGO, IL
60638-1719

Practice Phone: 773-233-1170
Practice Fax: 773-233-8146

1902176407 — HAILEY ELIZABETH SCHROEDER
Practice Location Address:

5001 N SAWYER AVE
CHICAGO, IL
60625-4951

Practice Phone: 602-481-2009
Practice Fax:

1902335714 — LARIZA FENNER-LUX
Practice Location Address:

4951 W MEDILL AVE
CHICAGO, IL
60639-3209

Practice Phone: 773-418-0164
Practice Fax:

1073450201 — LAYNE HARDY
Practice Location Address:

1020 W LAWRENCE AVE APT 721
CHICAGO, IL
60640-6542

Practice Phone: 337-288-9852
Practice Fax:

1811732043 — RUBY KOLTUN DIENSTAG
Practice Location Address:

1507 W LAWRENCE AVE
CHICAGO, IL
60640-4702

Practice Phone: 773-569-1468
Practice Fax:

1730933292 — MR. MOISES VENTURA LCPC
Practice Location Address:

1477 W WINNEMAC AVE APT 2
CHICAGO, IL
60640-2816

Practice Phone: 312-515-8410
Practice Fax:

Directions to “ ARIANNA DEMETRA POTERES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.