Individual
DANA CATHERINE POLUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
511 PARK AVE, RIVER FOREST, IL 60305-1712
(708) 366-6740
Mailing address
511 PARK AVE, RIVER FOREST, IL 60305-1712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001
MASTER OF ARTS UC-NORTH
CO
Enumeration date
11/21/2006
Last updated
04/19/2013
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