Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles R. Potter, MD, LLC

Organization Otolaryngology Physician · NPI 1538254727

Charles R. Potter, MD, LLC is an Otolaryngology Physician in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1770 E Lake Shore Dr Ste 306
Decatur, IL 62521-3832
Phone: (217) 422-1199
Fax: (217) 422-1277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 036-065056 (IL)

Record details

NPI number1538254727
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Potter — Owner · (217) 422-1199
NPI enumeratedOctober 4, 2006
Last updated in NPPESJune 19, 2008
Mailing address1770 E Lake Shore Dr, Suite 306, Decatur, IL 62521-3832

Other providers in Decatur