MILDRED MARIE PORTER

CHICAGO, IL
NPI1114471885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209013926)
Enumeration Date2016-08-10
Last Update Date2016-08-10
Business Address
-- MILDRED MARIE PORTER
2259 S WESTERN AVE APT 2
CHICAGO, IL 60608-4476
Phone number: 312-738-3355
Mailing Address
-- MILDRED MARIE PORTER
14442 ABBOTTSFORD RD
MIDLOTHIAN, IL 60445-2902
Phone number: 708-371-7817
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