GEORGE POLKE L.C.P.C.
NPI 1063779957
Counselor - Professional in Hoffman Estates, IL
About George Polke L.c.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGE POLKE L.C.P.C. (NPI 1063779957) is an individual professional provider in Hoffman Estates, Illinois, licensed in Illinois (180-008953) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
George Polke L.c.p.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show George Polke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockford, IL 61107
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Rockford Psychiatric Medical Services Sc
- 163 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOFFMAN ESTATES, IL 60169
HOFFMAN ESTATES, IL 60169
HOFFMAN ESTATES, IL 60169
HOFFMAN ESTATES, IL 60169
HOFFMAN ESTATES, IL 60169
HOFFMAN ESTATES, IL 60169
HOFFMAN ESTATES, IL 60169
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is George Polke's NPI number?
The NPI number for George Polke is 1063779957. It was assigned to this individual provider in the NPPES registry on April 16, 2012.
Where is George Polke located?
George Polke practices at 1786 Moon Lake Blvd Suite 104, Hoffman Estates, IL 60169. The listed phone number is (847) 755-8090.
What is George Polke's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is George Polke enrolled in Medicare?
Yes. George Polke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for George Polke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), George Polke reassigns Medicare benefits to Rockford Psychiatric Medical Services, S.C. (Rockford, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for George Polke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does George Polke accept?
Health plans from Blue Cross and Blue Shield of Texas and Quartz list George Polke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for George Polke was last updated on February 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# George Polke, L.C.P.C. · NPI 1063779957
Professional provider in Hoffman Estates, Illinois. Individual provider, active in the CMS NPPES registry since April 16, 2012.
## Identity
- **NPI:** 1063779957 (Entity type: Individual)
- **Enumerated:** April 16, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180-008953 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1786 MOON LAKE BLVD, SUITE 104, Hoffman Estates, IL 60169-5029
- **Phone:** (847) 755-8090 · **Fax:** (847) 843-7393
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Rockford Psychiatric Medical Services, S.C. (NPI 1821391442, Rockford, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 13, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1063779957) · Data from the CMS NPPES public registry.