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Individual

DR. DANIEL POLONSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071.011398
IL
103T00000X
Psychologist
03351
KS
103TC0700X
Clinical Psychologist
Primary
071.011398
IL

Other

Enumeration date
01/27/2025
Last updated
10/10/2025
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