Individual
DR. DANIEL H POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12430 S POST RD, PALOS PARK, IL 60464-2554
(708) 923-0969
Mailing address
12430 S POST RD, PALOS PARK, IL 60464-2554
(708) 923-0969
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-093593
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093593
—
IL
Enumeration date
09/12/2005
Last updated
10/11/2011
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