Individual
DR. TIMOTHY P OLENEK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7400 183RD ST, TINLEY PARK, IL 60477-3688
(708) 614-4000
Mailing address
7400 183RD ST, TINLEY PARK, IL 60477-3688
(708) 614-4000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36088607
IL
Other
Enumeration date
09/13/2005
Last updated
07/08/2007
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