Individual provider · Type 1 NPI
Mildred Marie Porter
Family Nurse Practitioner · Chicago, IL
NPI number
1114471885
Active
Practice location
2259 S Western Ave Apt 2
Chicago, IL 60608-4476
Mailing address
14442 Abbottsford Rd
Midlothian, IL 60445-2902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209013926 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114471885
Mildred Marie Porter's National Provider Identifier is 1114471885, issued on Aug 10, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Aug 10, 2016.