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

Polly Godfrey, MD

Individual provider Internal Medicine Physician · NPI 1194257154

Polly Godfrey, MD is a Hospitalist in Evanston, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2017, 9 years ago. Practices with Ascension Medical Group-Southeast Wisconsin Inc, a 555-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
9
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL, WI
In the registry since
2017
Specialties on file
4
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

2650 Ridge Ave Im Hospitalists Ste 4206
Evanston, IL 60201
Phone: (847) 570-1010
Fax: (847) 733-5108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 420 Delaware St Se, Minneapolis, MN 55455-0341 — (612) 624-0990
  • 3801 Spring St, Mount Pleasant, WI 53405-1667 — (262) 687-4011

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 036155636 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036155636 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 036155636 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence 75605 (WI)

Record details

NPI number1194257154
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2017
Last updated in NPPESJuly 15, 2022
Certification dateJuly 6, 2022
Mailing address2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2017 (9 years in practice)
Group practice Ascension Medical Group-Southeast Wisconsin Inc — 555 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Evanston