Individual
MRS. JOANNA GUEVARRA POLYAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2640 SHERIDAN RD, ZION, IL 60099-2615
(847) 731-6727
(847) 731-6739
Mailing address
2640 SHERIDAN RD, ZION, IL 60099-2615
(847) 731-6727
(847) 731-6739
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
070011448
IL
Other
Enumeration date
05/19/2006
Last updated
04/20/2012
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