Individual
RENEE POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21141 GOVERNORS HWY STE 114, MATTESON, IL 60443-3818
(630) 202-8406
Mailing address
21141 GOVERNORS HWY STE 114, MATTESON, IL 60443-3818
(630) 202-8406
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
P420-721-85-787-0
FL
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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