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1255049086
BLAIR PORTER
GLENVIEW, IL
NPI
1255049086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 085010683)
Enumeration Date
2022-11-10
Last Update Date
2024-10-09
Business Address
BLAIR PORTER PA-C
2050 PFINGSTEN RD
GLENVIEW, IL 60026-1324
Phone number: 847-570-1700
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Mailing Address
BLAIR PORTER PA-C
2050 PFINGSTEN RD STE 128
GLENVIEW, IL 60026-1324
Phone number: 478-570-1700
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