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Fourcorners Wellness Center, Ltd

Clinical Social Worker in Loves Park, IL · enumerated 2024 · authorized official Kevin Polky, Founder/President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1932968633

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Registry record

Entity type Organization (Type 2)
Legal business name Fourcorners Wellness Center, Ltd
Practice address 4001 N Perryville Rd, Loves Park, IL, 61111
Phone (815) 988-4370
Enumeration date Mar 15, 2024
Last updated in NPPES Mar 15, 2024

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Kevin Polky
Title Founder/President
Phone (815) 988-4370

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Fourcorners Wellness Center, Ltd?
NPPES lists Kevin Polky (Founder/President) as the authorized official for this organization.
What is the NPI number for Fourcorners Wellness Center, Ltd?
The NPI for Fourcorners Wellness Center, Ltd is 1932968633, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-15.