Individual
JOHN S POLLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 BARNEY DR STE D, JOLIET, IL 60435-5279
(815) 744-7515
(815) 744-7661
Mailing address
11516 183RD PL STE SW, ORLAND PARK, IL 60467-9471
(708) 877-1300
(708) 596-8719
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036096324
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
036096324
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096324
—
IL
01
—
180031254
RRMC
IL
Enumeration date
07/29/2005
Last updated
02/04/2022
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