Individual provider · Type 1 NPI
Megan K. Porth, NP-C
Family Nurse Practitioner · Park Ridge, IL
NPI number
1700631074
Active
Practice location
1700 Luther Ln Fl CENTER3
Park Ridge, IL 60068-1270
Fax (847) 722-3326
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Other practice locations
- 7201 Nighthawk Way, Cary, IL 60013-6056 · (815) 861-0409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209029104 (IL) |
| Registered Nurse | 163W00000X | 041450880 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1700631074
Megan K. Porth, NP-C's National Provider Identifier is 1700631074, issued on Apr 20, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Park Ridge, IL. The record was last updated on Nov 1, 2024.