Therese L Polo is a Pediatrics in Gillespie, Illinois. Therese L Polo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Therese L Polo is 1215088000. The last update date is 2007-07-08.
Therese L Polo's current location address is 807 Broadway St, Gillespie, Illinois. You can contact this provider via phone number 2178393900 and fax number 2178391313. The mailing address for Therese L Polo is 807 Broadway St, Gillespie, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Therese L Polo |
|---|---|
| Address | 807 Broadway St, Gillespie, Illinois |
| Phone Number | 2178393900 |
| Fax Number | 2178391313 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215088000 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 807 Broadway St |
|---|---|
| City | Gillespie |
| State | Illinois (IL) |
| Post Code | 620331100 |
| Phone Number | 2178393900 |
| Fax Number | 2178391313 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 427533 | HEALTHLINK | ||
| 5932020 | IL | BLUE CROSS BLUE SHEILD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Therese L Polo by the Centers for Medicare & Medicaid Services?
The Therese L Polo has been assigned the NPI (National Provider Identifier) 1215088000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Therese L Polo's facilities are situated?
The facilities of Therese L Polo are physically located at the following address: 807 Broadway St, Gillespie, IL, 620331100.
What is Therese L Polo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Therese L Polo's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
When did the Therese L Polo receive its 1215088000?
The Therese L Polo was issued its 1215088000 on 2007-01-16, which is the date when the organization was assigned this unique identifier.
As of what date were the Therese L Polo's details last updated?
The information pertaining to the Therese L Polo, including its address, specialty, and other details, was most recently updated on 2007-07-08.