Dr. Kevin R Polsley
M.D. | Pediatrics | Male
Dr. Kevin R Polsley, M.D. is a Homer Glen, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Kevin R Polsley is
15750 Marian Dr, Homer Glen, Illinois - 60491-6200. He can be contacted on phone at
708-645-3400.
Dr. Kevin R Polsley is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Kevin R Polsley is
1093978181 which was assigned by NPPES on 08 Jul, 2008 and it was last updated on 26 Apr, 2021.
Dr. Kevin R Polsley license number is
036.128061 for Pediatrics (208000000X) in Illinois.
Dr. Kevin R Polsley is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kevin R Polsley basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Kevin R Polsley |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Kevin R Polsley address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 15750 Marian Dr
Homer Glen, IL, 60491-6200
United States |
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| Phone Number : | 708-645-3400 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1093978181 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Jul, 2008 |
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| Last Updated On : | 26 Apr, 2021 |
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Medicare Participation:
Dr. Kevin R Polsley participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9335317825 |
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| Medicare Enrollment ID : | I20110728000254 |
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| Primary Specialty : | Internal Medicine |
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| Medical School : | Loyola University Of Chicago, Stritch School Of Medicine |
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| Graduation Year : | 2007 |
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| Accepts Medicare? | Yes. Dr. Kevin R Polsley accepts medicare insurance. |
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Group Practice Association:
Dr. Kevin R Polsley is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Kevin R Polsley is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Loyola University Medical Center | 3779488903 | 868 | 2160 S 1st Ave
Maywood, IL - 601533328
Ph: 7082169000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kevin R Polsley are as mentioned. Primary taxonomy code for Dr. Kevin R Polsley, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 036.128061 | IL |
| 208000000X | Pediatrics | Yes | 036.128061 | IL |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | kpolsley1643@direct.luhs.org
| | DIRECT
Direct
|
| 2160 S 1ST AVE,
MAYWOOD, IL, 60153-3328
United States |
FHIR
(FHIR URL) | https://rxhub.luhs.org/fhir/api/FHIR/DSTU2/
| No affiliation | OTHER
Other
FHIR IPA | OTHER
Other
CCD | 2160 S 1ST AVE,
MAYWOOD, IL, 60153-3328
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 15750 Marian Dr
Homer Glen, IL, 60491-6200
United States |
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| Phone Number : | 708-645-3400 |
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Business Location:
Patients can refer following map for directions to
Dr. Kevin R Polsley practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.