Individual
DR. WILLIAM FRED POLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1435 N RANDALL RD STE 210, ELGIN, IL 60123-2303
(847) 695-1620
(888) 990-2186
Mailing address
9500 BORMET DR STE 204, MOKENA, IL 60448-8399
(708) 346-4044
(708) 346-3287
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036116188
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116188
—
IL
Enumeration date
06/05/2006
Last updated
12/17/2021
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