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

Individual provider Clinical Psychologist · NPI 1356846745

Dr. Joseph Gerard Potaczek, PSYD is a Clinical Psychologist in Chicago, Illinois. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2018
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

77 W Washington St Ste 2110
Chicago, IL 60602-9703
Phone: (312) 637-8447
Fax: (312) 253-1433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.009763 (IL)

Record details

NPI number1356846745
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedMarch 27, 2018
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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