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Search › Illinois › 152W00000X

Jeffrey Porter, O.D

NPI 1982747507 · on the registry since 2007

Practice

Address
1205 S Il Route 31
Crystal Lake, IL 60014
Phone
(815) 477-4053
Fax
(815) 477-4302
Organisation at this address
Walmart Inc.
Jeffrey S Porter Od Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-20

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