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NPI Code Detail

MEDICARE: DR. SETH MICHAELS POLLACK MD

MEDICARE: DR. SETH MICHAELS POLLACK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician036154157IL
2207RX0202XMedical Oncology PhysicianMD60006970WA

General Provider Information

NPI Number : 1528234143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SETH MICHAELS POLLACK MD
Provider Business Mailing Address
First Line : 676 N SAINT CLAIR ST STE 850
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3124
Country : US
Telephone Number : 312-695-6180
Fax Number : 312-695-6187
Provider Business Practice Location Address
First Line : 676 N SAINT CLAIR ST STE 850
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3124
Country : US
Telephone Number : 312-695-6180
Fax Number : 312-695-6187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2008
Last Update Date : 01/07/2021

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