Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESE POLO, MD, LLC
Active OrganizationTHERESE POLO, MD, LLC is a Pediatrics organization located in GILLESPIE, Illinois. NPI 1639399157 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · GILLESPIE, IL
Registration Details
- NPI Number
- 1639399157
- Provider Type
- Organization
- NPI Issued
- Apr 26, 2007 (19.260525635313 yrs)
- Last Updated
- Aug 22, 2020
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. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.