Elizabeth Polek

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071010125 Issued in IL

Practice address

11800 S 75TH Ave Ste 300
Palos Heights, IL 60463-1064

Phone

(708) 671-8440

NPI assigned

Oct 10, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mind-Full Therapy PLLC

  • Clinical Psychologist
  • Mokena, IL
  • NPI 1235913864

  Clinical

  NPD Authorized official
• Thriving Roots Psychological Services PLLC

  • Clinical Psychologist
  • Mokena, IL
  • NPI 1649943317

  Clinical

  NPD Authorized official
• Mira Neuro Behavioral Health Care, LLC

  • Psychiatric Hospital
  • Tinley Park, IL
  • NPI 1518615749
  NPD
• Miracare Neuro Behavioral Health, PC

  • Psychologist
  • Palos Heights, IL
  • NPI 1649329251
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1225670243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 S 75TH AVE STE 300",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 S 75TH AVE STE 300",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631064",
            "telephone_number": "708-671-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEK",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Play on Speech Therapy LLC
• Jennifer Ann Plecki, BCBA
• Plows Council on Aging
• Pmi Diagnostic Imaging LLC
• Charles R Polcaster, PHD
• Hannah Nicole Polk, RD, LDN
• Melissa Marie Popp, PTA
• Cathlin B Poronsky, R.N., A.P.N.
• Gary L Porter, OD
• Sharina Deon Porter, LPC

• All providers in Palos Heights, IL
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.