Polanek, Tiffany L

Polanek, Tiffany L is an individual health care provider with primary practice located at 3241 S Michigan Ave , Chicago IL 60616-3849. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Polanek, Tiffany L can be contacted via phone (312) 225-6200.

Contact Information

Primary practice address
3241 S Michigan Ave Chicago IL 60616-3849
Phone: (312) 225-6200
Fax: (312) 949-7660
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046009299 Illinois

Profile Details

NPI number 1952395014
LBN Legal business name Polanek, Tiffany L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Dec 29th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952395014 NPPES
Illinois MEDICAID 046009299

Popular Providers