Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1154327419 Deactivated / Inactive NPI Male Practitioner

Dr. Stanton G. Polin , MD

Surgery - Vascular Surgery • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stanton Polin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 22, 2005
NPI Deactivation Date August 03, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Stanton Polin, MD was a registered Surgery - Vascular Surgery practicing in Chicago, IL. Throughout an active medical career spanning 12 years, Dr. Polin provided care at the practice location at 5545 W MONTROSE AVE until profile deactivation on 2017-08-03.

Practice Location & Contact Primary Location

Practice Address

5545 W Montrose Ave

Chicago, IL 606411331

Telephone 7736850110
Fax 8476790445
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
53 Specialists

Practicing in Chicago, IL (207 Statewide)

Telehealth Adoption Rate
24.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License IL 36-35422

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Jaclyn Digiacomo , LPT

Physical Therapist

NPI 1023107422
Dr. Laya Adams , PT, DPT

Physical Therapist

NPI 1124811286

Physical Therapist, Doctor of Physical Therapy

Bethany Kalush

Physical Therapist

NPI 1134878473
Julie Valkanet , LMT

Massage Therapist

NPI 1265636914

Licensed Massage Therapist

NPI 1376581116

Doctor of Chiropractic

Dr. Lauren Alpert , DPT

Physical Therapist

NPI 1487025169

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 03, 2017

Record deactivated on August 03, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 5545 W MONTROSE AVE, CHICAGO, IL 606411331 (Tel: 7736850110)

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Updated Business Mailing Address July 08, 2007

Registered at 8620 KEELER AVE, SKOKIE, IL 600762014 (Tel: 7736850110)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STANTON POLIN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #36-35422 in IL)

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Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154327419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2005
Last Update: July 08, 2007
Deactivation Date: August 03, 2017

Mailing Address

8620 Keeler Ave

Skokie, IL 600762014

Phone: 7736850110

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.