Individual
DIANA POLKOWSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 612-6133
Mailing address
1307 S WABASH AVE APT 510, CHICAGO, IL 60605-2623
(708) 612-6133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.024667
IL
Other
Enumeration date
01/15/2022
Last updated
01/15/2022
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