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1295093995
BRETT PORTER
MAYWOOD, IL
NPI
1295093995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125062122)
Enumeration Date
2012-05-01
Last Update Date
2021-09-16
Business Address
Dr. BRETT PORTER M.D.
2160 S. FIRST AVENUE LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153-0000
Phone number: 708-216-8757
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Mailing Address
Dr. BRETT PORTER M.D.
2160 S. FIRST AVENUE LOYOLA UMC LUH NORTH ENTRANCE RM 7609
MAYWOOD, IL 60153-3328
Phone number: 708-216-8757
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