Individual
DR. MARY OLIVIA POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 N 8TH ST, 3RD FLOOR, SPRINGFIELD, IL 62701-1041
(217) 527-2864
Mailing address
915 TATE BLVD SE STE 182, HICKORY, NC 28602-4042
(828) 322-2005
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036-087921
IL
Other
Enumeration date
09/23/2006
Last updated
10/20/2022
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