Individual
JILL ELIZABETH POLOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
706 ROGERS ST, WATERLOO, IL 62298-1780
(618) 939-7761
Mailing address
706 ROGERS ST, WATERLOO, IL 62298-1780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
056014120
IL
Other
Enumeration date
02/09/2018
Last updated
12/22/2025
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