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Individual

POLLY NOBIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
101 E MILLER RD, STERLING, IL 61081-1252
(815) 625-4790
Mailing address
101 E MILLER RD, STERLING, IL 61081-1252
(815) 625-4790

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041151083
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043645
HEALTH ALLIANCE MEDICAL
IL
01
500019283
RAILROAD MEDICARE
Enumeration date
10/11/2006
Last updated
07/07/2021
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