Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THERESE L POLO, MD
Active Sole ProprietorDR. THERESE L POLO, MD is a Pediatrics healthcare provider located in GILLESPIE, Illinois. NPI 1215088000 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · GILLESPIE, IL
Registration Details
- NPI Number
- 1215088000
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 16, 2007 (19.536362761394 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
807 BROADWAY STGILLESPIE, IL, 620331100Browse IL providers · Browse ZIP 62033
- Phone
- 2178393900
- Fax
- 2178391313
- Primary Specialty
-
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.