Dr Therese L Polo, MD is a
Pediatrics physician based in Gillespie, Illinois. Dr Therese L Polo is licensed to practice in Illinois (license number ) and her current practice location is 807 Broadway St, Gillespie, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 839-3900.
NPI number for Dr Therese L Polo is 1215088000 and her current mailing address is 807 Broadway St, Gillespie, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215088000.
Physician's Profile
Full Name | Dr Therese L Polo |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 807 Broadway St, Gillespie, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215088000
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Therese L Polo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215088000 | NPI | - | NPPES |
427533 | Other | | HEALTHLINK |
0005932020 | Other | IL | BLUE CROSS BLUE SHEILD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Therese L Polo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Therese L Polo, MD 807 Broadway St, Gillespie, IL 62033-1100 Ph: (217) 839-3900 | Dr Therese L Polo, MD 807 Broadway St, Gillespie, IL 62033-1100 Ph: (217) 839-3900 |
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