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

Dr. Vitaliy Y. Poylin, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1942291604

Dr. Vitaliy Y. Poylin, MD is a Colorectal Surgery (Proctology) in Chicago, Illinois. Qualified in 2002, 24 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Massachusetts.

Years since qualifying
24
Licensed in
IL, MA
In the registry since
2005
Specialties on file
2
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

259 E Erie St Fl 16
Chicago, IL 60611-2987
Phone: (312) 695-6868
Fax: (312) 695-2729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 330 Brookline Ave, Boston, MA 02215-5400 — (617) 667-4159

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 03149083 (IL)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence 225056 (MA)

Record details

NPI number1942291604
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 2, 2005
Last updated in NPPESJune 6, 2019

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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