Individual
MR. JAMES SAMUEL POLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 RICHMOND AVE E STE 4, MATTOON, IL 61938-4652
(217) 234-7000
(217) 238-5348
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4653
(217) 342-3400
(217) 258-2216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036156024
IL
207R00000X
Internal Medicine Physician
R4572
KY
Other
Enumeration date
03/22/2017
Last updated
02/08/2023
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