Marshall Polakoff


Address: 2590 Covel Bluff Rd, Ottawa, IL 61350-9260
Phone: 8154340806

Marshall Polakoff (NPI# 1437237443, PAC ID# 7719975846) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1437237443
PAC ID by PECOS 7719975846
Professional Enrollment ID I20040505001290
Full Name Marshall Polakoff
Address 2590 Covel Bluff Rd
Ottawa
IL 61350-9260
Phone Number 8154340806
Gender M
Credential CP
Graduation Year 1983
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2590 Covel Bluff Rd, Ottawa, IL 61350-9260 8154340806

Organization Information

Office Location

Street Address 2590 COVEL BLUFF RD
City OTTAWA
State IL
Zip 61350-9260

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Competitor

Search similar physicians

City OTTAWA
Zip Code 61350
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty OTTAWA + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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