Kevin M Polky (NPI# 1902094469, PAC ID# 2062499791) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1902094469 |
| PAC ID by PECOS | 2062499791 |
| Professional Enrollment ID | I20040702000218 |
| Full Name | Kevin M Polky |
| Organization Legal Name | KP COUNSELING LTD |
| Address |
6392 Linden Rd Rockford IL 61109-2816 |
| Phone Number | 7793680068 |
| Gender | M |
| Credential | CSW |
| Graduation Year | 1995 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 1254318983 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6392 Linden Rd, Rockford, IL 61109-2816 | 7793680068 | KP COUNSELING LTD |
| Organization Legal Name | KP COUNSELING LTD |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janice Benedict | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Christina M Warden | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Philip L Curtin | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Lynn Wheeler | Nurse Practitioner | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Ashley Bockelman | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Jennifer Fricke | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Delinda E Grindle | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Kevin D Anderson | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Street Address |
6392 LINDEN RD |
| City | ROCKFORD |
| State | IL |
| Zip | 61109-2816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janice Benedict | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Christina M Warden | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Philip L Curtin | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Lynn Wheeler | Nurse Practitioner | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Ashley Bockelman | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Jennifer Fricke | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Delinda E Grindle | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Kevin D Anderson | Clinical Social Worker | Kp Counseling Ltd | 6392 Linden Rd, Rockford, IL 61109-2816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Joseph Gunther | Optometry | Miller Eye Center Ltd | 2995 Eastrock Dr, Rockford, IL 61109-1737 |
| Ahmet Ozkok | Ophthalmology | Miller Eye Center Ltd | 2995 Eastrock Dr, Rockford, IL 61109-1737 |
| Eric P Marnul | Optometry | Miller Eye Center Ltd | 2995 Eastrock Dr, Rockford, IL 61109-1737 |
| Jorge L Villacorta | Family Medicine | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| Kimberly L Donald | Nurse Practitioner | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| Julie Vicencio | Nurse Practitioner | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| Hanna J Rakowski | Nurse Practitioner | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| David Beutel | Physical Therapy | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| Lisa A Carani | Nurse Practitioner | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| Tiffany J Farrell | Nurse Practitioner | Physicians Immediate Care Ltd. | 3475 S Alpine Rd, Rockford, IL 61109-2604 |
| Find all physicians in zip 61109 | |||
| City | ROCKFORD |
| Zip Code | 61109 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | ROCKFORD + CLINICAL SOCIAL WORKER |
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| 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.