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Individual
DR. STANLEY L. PORADA
Active
Individual
DR. STANLEY L. PORADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-004347
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004347
—
IL
01
—
0732240001
DMERC # FOR PPG
IL
Enumeration date
08/01/2006
Last updated
01/22/2019
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