SearchIllinois1041C0700X

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 System
Inferred 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