Robert B Polisky, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Practice address

901 Biesterfield Rd
#209
Elk Grove Village, IL 60007-3392

Phone

(847) 593-6222

Fax

(847) 593-0097

NPI assigned

Jul 11, 2006

Last updated

Oct 22, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Elk Grove Dermatology, S.C.

  • Dermatology Physician
  • Elk Grove Village, IL
  • NPI 1386769271
  Authorized official Same address or phone
• Mohs Surgery &Dermatology

  • Specialist
  • Elgin, IL
  • NPI 1356721591
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1578598694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BIESTERFIELD RD",
            "address_2": "#209",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073392",
            "telephone_number": "847-593-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BIESTERFIELD RD",
            "address_2": "#209",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073392",
            "telephone_number": "847-593-6222",
            "fax_number": "847-593-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLISKY",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Pittenger, PT
• Plum Creek Communities, LLC
• Jakub Podosek, PMHNP-BC
• Sonali Pogorzelski, PHARM D
• Victoria Poklop, LPC
• Natalie Polupan
• Andrei M. Pop, M.D.
• Bruce Popp, PT
• Gregory Porter, M.D.
• Michael Vincent Porters, ATC

• Dermatology Physician in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.