Gregory R Polovich

NPI 1023027216 - Chiropractor - 111N00000X

NPI Details
NPI 1023027216
Gender Male
Enumeration Date 08/05/2006
Last Updated 05/26/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
915 W SPRESSER ST
TAYLORVILLE IL, 62568-1831, US
Phone (217) 824-6222
Fax (217) 824-5511
Business Location
823 MESA VERDE CT
TAYLORVILLE IL, 62568-9103, US
Phone (217) 824-6222
Fax (217) 824-5511
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038-004196
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According to our database, Gregory R Polovich NPI is 1023027216, taxonomy code is 111N00000X and license number is 038-004196, license state is located at Illinois. Gregory R Polovich physically located at 915 W Spresser St, Taylorville IL, 62568-1831. NPI Number Gregory R Polovich has the Individual type.

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1023027216 NPI number is provided on an as is basis without warranty of any kind. 1023027216 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory R Polovich are for informational purposes only.