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
Phone: (708) 923-0969
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477547974 | NPPES |
| Illinois | MEDICAID | 036093593 |
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