MEDICARE: KELLY L POTTEIGER MS, ATC, LAT

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	2255A2300X	Athletic Trainer		IL

General Provider Information

NPI Number	:	1124175203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY L POTTEIGER MS, ATC, LAT

Provider Business Mailing Address
First Line	:	1360.5 WEST ESTES 3S
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626
Country	:	US
Telephone Number	:	773-988-4147
Fax Number	:	312-397-4544

Provider Business Practice Location Address
First Line	:	401 S STATE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-1229
Country	:	US
Telephone Number	:	312-935-4546
Fax Number	:	312-397-4544

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

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1851388995 — CAROLINE NAWARA M.D.
Practice Location Address:

401 S STATE ST , SUITE 430
CHICAGO, IL
60605-1229

Practice Phone: 312-789-4677
Practice Fax: 312-789-4676

1699978379 — CAROLINE NAWARA MD, S.C.
Practice Location Address:

401 S STATE ST , SUITE 430
CHICAGO, IL
60605-1229

Practice Phone: 312-789-4677
Practice Fax: 312-789-4676

1053594051 — MATTHEW ROBERT WHITESELL MSA, ATC
Practice Location Address:

401 S STATE ST , ROBERT MORRIS UNIVERSITY
CHICAGO, IL
60605-1229

Practice Phone: 847-718-6707
Practice Fax: 312-935-4079

1376940692 — KELSEY REES ATC
Practice Location Address:

401 S STATE ST
CHICAGO, IL
60605-1229

Practice Phone: 217-553-0706
Practice Fax:

1235504069 — MR. JONATHAN GARGUL III ATC
Practice Location Address:

401 S STATE ST
CHICAGO, IL
60605-1229

Practice Phone: 847-718-6707
Practice Fax:

1679059018 — MAGGIE BUTLER ATC
Practice Location Address:

401 S STATE ST
CHICAGO, IL
60605-1229

Practice Phone: 333-202-9082
Practice Fax:

Directions to “ KELLY L POTTEIGER MS, ATC, LAT” 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.