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Individual
MS. SUZANNE E PORFYRIS
Active
Individual
MS. SUZANNE E PORFYRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209004261
IL
Other
Enumeration date
07/09/2006
Last updated
03/28/2009
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