Therese Polo, Md, LLC

NPI #1639399157 in Gillespie, Illinois

Provider Information

NPI Number: 1639399157
Entity Type: Organization
Organization Name: Therese Polo, Md, LLC
Primary Specialty: Pediatrics
Enumeration Date: Apr 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 807 BROADWAY ST
City: Gillespie
State: Illinois
ZIP Code: 62033-1100
Phone: (217) 839-3900

Authorized Official

Name: DR. THERESE L POLO, MD
Title: OWNER
Phone: (217) 839-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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