Individual
OLHA POLOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 WESTOVER LN UNIT 2C, SCHAUMBURG, IL 60193-3437
(773) 319-8107
Mailing address
1106 WESTOVER LN UNIT 2C, SCHAUMBURG, IL 60193-3437
(773) 319-8107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209020967
IL
363L00000X
Nurse Practitioner
Primary
209020967
IL
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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