Pollack, John S
Pollack, John S is an individual health care provider with primary practice located at 300 Barney Dr Ste D , Joliet IL 60435-5279. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Pollack, John S can be contacted via phone (815) 744-7515.Contact Information
Primary practice address
300 Barney Dr Ste D
Joliet IL 60435-5279
Phone: (815) 744-7515
Fax: (815) 744-7661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 036096324 | Illinois |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036096324 | Illinois |
Profile Details
| NPI number | 1881694933 |
|---|---|
| LBN Legal business name | Pollack, John S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Feb 4th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881694933 | NPPES |
| Illinois | MEDICAID | 036096324 | |
| Illinois | Other | 180031254 |
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