Gregory R Polovich in Taylorville - Chiropractor
Gregory R Polovich - NPI 1023027216
Gregory R Polovich is a Chiropractor in Taylorville, Illinois. Gregory R Polovich practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gregory R Polovich is 1023027216. The last update date is 2015-05-26.
Gregory R Polovich's current location address is 823 Mesa Verde Ct, Taylorville, Illinois. You can contact this provider via phone number 2178246222 and fax number 2178245511. The mailing address for Gregory R Polovich is 823 Mesa Verde Ct, Taylorville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory R Polovich |
|---|---|
| Address | 823 Mesa Verde Ct, Taylorville, Illinois |
| Phone Number | 2178246222 |
| Fax Number | 2178245511 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023027216 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2015-05-26 |
Provider Mailing Address Detail
| Address | 823 Mesa Verde Ct |
|---|---|
| City | Taylorville |
| State | Illinois (IL) |
| Post Code | 625689103 |
| Phone Number | 2178246222 |
| Fax Number | 2178245511 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 038-004196 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8782001 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gregory R Polovich by the Centers for Medicare & Medicaid Services?
The Gregory R Polovich has been assigned the NPI (National Provider Identifier) 1023027216 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Gregory R Polovich is geographically located?
The Gregory R Polovich is physically situated at the following location: 823 Mesa Verde Ct, Taylorville, IL, 625689103.
What is the Gregory R Polovich's area of specialization and corresponding taxonomy classification?
The Gregory R Polovich's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Gregory R Polovich receive its 1023027216 assignment from the Centers for Medicare & Medicaid Services?
The Gregory R Polovich was assigned its 1023027216 by the Centers for Medicare & Medicaid Services on 2006-08-05.
When was the information related to Gregory R Polovich most recently updated or refreshed?
The details pertaining to the Gregory R Polovich, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-05-26.
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