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Individual

POLLY GODFREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2650 RIDGE AVE., IM HOSPITALISTS STE 4206, EVANSTON, IL 60201
(847) 570-1010
(847) 733-5108
Mailing address
2650 RIDGE AVE., IM HOSPITALISTS STE 4206, EVANSTON, IL 60201
(847) 570-1010
(847) 733-5108

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036155636
IL
208000000X
Pediatrics Physician
036155636
IL
208M00000X
Hospitalist Physician
Primary
036155636
IL
208M00000X
Hospitalist Physician
75605
WI

Other

Enumeration date
03/29/2017
Last updated
07/15/2022
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