Individual
DR. KEVIN R POLSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7425 JANES AVE STE 100, WOODRIDGE, IL 60517-2357
(331) 732-7100
(331) 732-7101
Mailing address
7425 JANES AVE STE 100, WOODRIDGE, IL 60517-2357
(331) 732-7100
(331) 732-7101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.128061
IL
208000000X
Pediatrics Physician
Primary
036.128061
IL
Other
Enumeration date
07/08/2008
Last updated
06/12/2024
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