Dr. Marissa Polancich, MD
Plastic Surgery in Maywood, IL. Individual provider (NPI-1).
NPI number1568110237
StatusActive
Last updated in NPPESMay 11, 2023
Details
- NPI
- 1568110237
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marissa Polancich
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2022
- Certification date
- May 11, 2023
- Last updated
- May 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | 125.081576 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 888-584-7888
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
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