Individual
GREGG T PODLESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1215 FRANCISCAN DR, LITCHFIELD, IL 62056-1799
(217) 324-2191
Mailing address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036.175883
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034994601
—
TX
Enumeration date
05/19/2006
Last updated
12/02/2025
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