Individual
MR. MICHAEL ALAN POLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
1532 CALUMET AVE, DYER, IN 46311-1588
(872) 231-3162
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001158A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200324200
—
IN
Enumeration date
10/20/2006
Last updated
10/03/2025
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