Organization
THERESE POLO, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESE L POLO MD (OWNER)
(217) 839-3900
Entity
Organization
Contact information
Practice address
807 BROADWAY ST, GILLESPIE, IL 62033-1100
(217) 839-3900
(217) 839-1313
Mailing address
807 BROADWAY ST, GILLESPIE, IL 62033-1100
(217) 839-3900
(217) 839-1313
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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