Individual
DR. DENISE M POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5851 W 95TH ST, SUITE 300, OAK LAWN, IL 60453-2362
(708) 499-9800
(708) 499-6203
Mailing address
5851 W 95TH ST, SUITE 300, OAK LAWN, IL 60453-2362
(708) 499-9800
(708) 499-6203
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
036081009
IL
207VG0400X
Gynecology Physician
036081009
IL
Other
Enumeration date
10/14/2005
Last updated
02/04/2022
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