Dr Kevin R Polsley, MD | |
7425 Janes Ave Ste 100, Woodridge, IL 60517-2357 | |
(331) 732-7100 | |
(331) 732-7101 |
Full Name | Dr Kevin R Polsley |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 17 Years |
Location | 7425 Janes Ave Ste 100, Woodridge, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093978181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036.128061 (Illinois) | Primary |
207R00000X | Internal Medicine | 036.128061 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Loyola Medicine Home Care | Oak brook, IL | Home health agency |
Palos Community Hospital Home Health Care | Lemont, IL | Home health agency |
Loyola University Medical Center | Maywood, IL | Hospital |
Palos Community Hospital | Palos heights, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Loyola University Medical Center | 3779488903 | 857 |
Entity Name | Loyola University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin R Polsley, MD 7425 Janes Ave Ste 100, Woodridge, IL 60517-2357 Ph: (331) 732-7100 | Dr Kevin R Polsley, MD 7425 Janes Ave Ste 100, Woodridge, IL 60517-2357 Ph: (331) 732-7100 |
Dr. Rosalind Simon Downing, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7530 Woodward Ave, Woodridge, IL 60517 Phone: 630-910-1177 Fax: 630-910-6995 | |
Sylvia Irizarry, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7425 Janes Ave, Woodridge, IL 60517 Phone: 815-300-7764 | |
Mrs. Arely Contreras, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7667 Willow Ave, Woodridge, IL 60517 Phone: 713-205-8109 | |
Dr. Rouba Barakat, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7451 Woodward Ave, Suite108, Woodridge, IL 60517 Phone: 630-724-0357 | |
Won D Kim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7425 Janes Ave, Woodridge, IL 60517 Phone: 815-300-7106 | |
Reshma Desai Ajmere, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7530 Woodward Ave, Woodridge, IL 60517 Phone: 630-910-1177 Fax: 630-396-3487 |