Search › Illinois › 111N00000X
Gregory Polovich
NPI 1023027216 · on the registry since 2006 · sole proprietor
Practice
- Address
- 915 W Spresser St
Taylorville, IL 62568 - Phone
- (217) 824-6222
- Fax
- (217) 824-5511
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois