Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daisy Polk

Individual provider Behavior Technician · NPI 1356831416

Daisy Polk is a Behavior Technician in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018

Practice location Address checks out

2804 Conklin Dr Apt 7
Rockford, IL 61101-1885
Phone: (815) 978-0672
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 17-38594 (IL)

Record details

NPI number1356831416
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 15, 2018
Last updated in NPPESMay 15, 2018
Mailing address2804 Conklin Dr Apt 7, Rockford, IL 61101-1885

Other providers in Rockford