SearchIllinois363A00000X

Tajinee Porter, PA-C

NPI 1861233066 · on the registry since 2024

Practice

Address
1200 W State St
Rockford, IL 61102
Phone
(815) 490-1600
Fax
(815) 490-1881
Organisation at this address
Walgreen Co
Laboratory Corporation Of America
Crusaders Central Clinic Association
Crusaders Central Clinic Association
Crusaders Central Clinic Association
Inferred from a shared address, not stated in the registry.
Clinicians at this address
173

Registry record

Primary taxonomy
363A00000X
363A00000X
Sex
Female
Record last updated
2026-01-10

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