NPI 1013883321

Renee Polk

Practitioner Private Vehicle Matteson, IL

Practice location

Address: 21141 Governors Hwy STE 114, Matteson, IL 60443-3818
Phone: (630) 202-8406

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence P420-721-85-787-0 (FL)

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Registry record

NPI: 1013883321
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Oct 2025
Record last updated: 14 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.