Search › Illinois › 1041C0700X
Portia Patillo, LCSW
NPI 1275393399 · on the registry since 2024 · sole proprietor
Practice
- Address
- 913 W Wellington Ave
Chicago, IL 60657 - Phone
- (872) 843-0219
- Organisation at this address
- Advocate Dental Center
Advocate Northside Health SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 58
Additional practice sites
- 6923 S Merrill Ave Unit 2, Chicago, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois