person
Mildred Marie Porter
Family Nurse Practitioner in Chicago, Illinois
NPI 1114471885

Mildred Marie Porter is a Family Nurse Practitioner based in Midlothian, IL and is specialized in Family. Mildred Marie Porter practices in Chicago, IL. The NPI Number for Mildred Marie Porter is 1114471885 and holds a License No. 209013926 (Illinois).

The current practice location address for Mildred Marie Porter is 2259 S Western Ave Apt 2, Chicago, IL and can be reached out via phone at 312-738-3355.

Location: 2259 S Western Ave Apt 2, Chicago, IL, 60445-2902
person
Provider Profile Details
NPI Number
1114471885
Provider Name
Mildred Marie Porter
Credential
Provider Entity Type
Individual
Gender
Female
Address
2259 S Western Ave Apt 2, Chicago, IL, 60445-2902
Phone Number
312-738-3355
Fax Number
Provider Enumeration Date
08/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2259 S Western Ave Apt 2
City
State
Zip
60608-4476
Phone Number
312-738-3355
Fax Number
person
Provider Business Mailing Address Details
Address
2259 S Western Ave Apt 2
City
State
Zip
60608-4476
Phone Number
312-738-3355
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209013926 (Illinois)
Definition
Definition to come...
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