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

Dr. Mary Olivia Polk, MD

Individual provider Pulmonary Disease Physician · NPI 1427158104

Dr. Mary Olivia Polk, MD is a Pulmonary Disease in Springfield, Illinois. Graduated from Washington University School of Medicine in 1984, 42 years ago. Practices with Dlp Frye Medical Group LLC, a 126-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
42
Trained at
Washington University School of Medicine
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 N 8th St 3rd Fl
Springfield, IL 62701-1041
Phone: (217) 527-2864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 036-087921 (IL)

Record details

NPI number1427158104
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2006
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Dlp Frye Medical Group Llc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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