Organization
STANLEY A POLIT MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY A POLIT M.D (DOCTOR)
(708) 424-9044
Entity
Organization
Contact information
Practice address
2850 W 95TH ST, SUITE 11, EVERGREEN PARK, IL 60805-2735
(708) 424-9044
(708) 424-1799
Mailing address
2850 W 95TH ST, SUITE 11, EVERGREEN PARK, IL 60805-2735
(708) 424-9044
(708) 424-1799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036064603
IL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110238201
RR MEDICARE
IL
01
—
21622753
BCBS
IL
Enumeration date
04/06/2007
Last updated
10/19/2019
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