Individual provider · Type 1 NPI

Charity Polk

Nurse Practitioner · Matteson, IL

NPI number 1992639876 Active

Practice location

49 Sundance Rd
Matteson, IL 60443-1284

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2026018821 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1992639876

Charity Polk's National Provider Identifier is 1992639876, issued on Jun 9, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Matteson, IL. The record was last updated on Jun 9, 2026.