| 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 | 19 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 |
|---|---|---|
| Central Dupage Hospital | Winfield, IL | Hospital |
| Loyola University Medical Center | Maywood, IL | Hospital |
| Palos Community Hospital | Palos heights, IL | Hospital |
| Northwestern Memorial Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dupage Physician Group | 5890696231 | 1005 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| 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: Not Enrolled in Medicare 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 |