Individual
IRINA Y POLANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 LINCOLN PLACE CT STE 130, BELLEVILLE, IL 62221-5884
(618) 257-1297
(618) 277-1190
Mailing address
130 LINCOLN PLACE CT STE 130, BELLEVILLE, IL 62221-5884
(618) 257-1297
(618) 257-1529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002586
IL
Other
Enumeration date
01/25/2006
Last updated
03/03/2021
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