1. Home
  2. Directory
  3. Illinois
  4. Gillespie
  5. Pediatrics
  6. NPI Profile

THERESE POLO, MD, LLC
NPI 1639399157
Pediatrics in Gillespie, IL

Active since April 26, 2007
807 BROADWAY ST, GILLESPIE, IL 62033(217) 839-3900(217) 839-1313 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Therese Polo, Md, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESE POLO, MD, LLC (NPI 1639399157) is a healthcare organization registered as a pediatrics in Gillespie, Illinois and active in the NPI registry since April 2007. The organization lists Therese L Polo, Owner, as its authorized official.

NPPES Registry Identity

NPI1639399157
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTHERESE POLO, MD, LLC
Location Address807 BROADWAY STGillespie, IL 62033-1100
Mailing Address807 Broadway StGillespie, IL 62033-1100 · (217) 839-3900 · Fax (217) 839-1313
Phone(217) 839-3900
Fax(217) 839-1313
Organization SubpartNo
Authorized OfficialTherese L PoloOwner · (217) 839-3900
Enumeration DateApril 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639399157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

807 BROADWAY ST, Gillespie, IL 62033
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THERESE L POLO MD
Pediatrics
807 BROADWAY ST
GILLESPIE, IL 62033
Macoupin County (217) 839-3900
CARLINVILLE AREA HOSPITAL ASSOCIATION
Clinic/Center (Rural Health)
807 BROADWAY ST
GILLESPIE, IL 62033
Macoupin County (217) 854-3900

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 Therese Polo, MD, LLC's NPI number?

The NPI number for Therese Polo, MD, LLC is 1639399157. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Therese Polo, MD, LLC located?

Therese Polo, MD, LLC is located at 807 Broadway St, Gillespie, IL 62033. The listed phone number is (217) 839-3900.

What is Therese Polo, MD, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Therese Polo, MD, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.