SearchIllinois101YP2500X

Debra Porter

NPI 1992422679 · on the registry since 2022

Practice

Address
3146 W Jerome St
Chicago, IL 60645
Phone
(773) 456-2097

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-24

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