TIMOTHY W PORCELLI

CHICAGO, IL
NPI1699896431
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: IL  212-000115)
Enumeration Date2007-04-02
Last Update Date2007-07-08
Business Address
-- TIMOTHY W PORCELLI LCPed
3723 N SOUTHPORT
CHICAGO, IL 60613-3718
Phone number: 312-409-2175
Mailing Address
-- TIMOTHY W PORCELLI LCPed
POB 13377
CHICAGO, IL 60613
Phone number: 312-409-2175
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