Polk, Daniel H

Polk, Daniel H is an sole proprietor health care provider with primary practice located at 12430 S Post Rd , Palos Park IL 60464-2554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Polk, Daniel H can be contacted via phone (708) 923-0969.

Contact Information

Primary practice address
12430 S Post Rd Palos Park IL 60464-2554
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036-093593 Illinois

Profile Details

NPI number 1477547974
LBN Legal business name Polk, Daniel H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2005
Last updated Oct 11th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477547974 NPPES
Illinois MEDICAID 036093593

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