Individual provider · Type 1 NPI

Maria Kezia Lourdes Ligsay Pormento, MD, MBA

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1881380004 Active

Practice location

1431 N Western Ave Ste 406
Chicago, IL 60622-1774

Fax (312) 491-5020

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1881380004

Maria Kezia Lourdes Ligsay Pormento, MD, MBA's National Provider Identifier is 1881380004, issued on Apr 12, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Apr 12, 2023.