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

John William Polivka, DDS

Individual provider Dentist · NPI 1891126454

John William Polivka, DDS is a Dentist in LA Grange Highlands, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

11000 Jann Ct
LA Grange Highlands, IL 60525-7308
Phone: (708) 699-6659
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.029578 (IL)

Record details

NPI number1891126454
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 9, 2013
Last updated in NPPESDecember 9, 2013