Search › Illinois › 222Z00000X
Timothy Porcelli, LCPED
NPI 1699896431 · on the registry since 2007
Practice
- Address
- 3723 N Southport
Chicago, IL 60613 - Phone
- (312) 409-2175
Registry record
- Primary taxonomy
- 222Z00000X
222Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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