| Amillia Polk, LPN | |
|
810 White Oak Dr Apt 5, O Fallon, IL 62269-1155 | |
| (314) 665-5308 | |
| Not Available |
| Full Name | Amillia Polk |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 810 White Oak Dr Apt 5, O Fallon, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326960436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 043137071 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amillia Polk, LPN 810 White Oak Dr Apt 5, O Fallon, IL 62269-1155 Ph: Not Available | Amillia Polk, LPN 810 White Oak Dr Apt 5, O Fallon, IL 62269-1155 Ph: (314) 665-5308 |
Teresa Harris, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 830 Deer Creek Rd, O Fallon, IL 62269 Phone: 314-574-8314 |
Ms. Gwendolyn Bradley, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 294 Kings Ridge Blvd, O Fallon, IL 62269 Phone: 618-975-3781 |