SearchIllinois207R00000X

James Polek

NPI 1720519754 · on the registry since 2017

Practice

Address
200 Richmond Ave E Ste 4
Mattoon, IL 61938
Phone
(217) 234-7000
Fax
(217) 238-5348
Clinicians at this address
17

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207R00000X
Licence states on file
KY, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-08

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