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Organization
PORTENO MEDICAL SERVICES, S.C.
Active
Organization
PORTENO MEDICAL SERVICES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ROSENSTEIN M.D. (PRESIDENT)
(773) 580-5093
Entity
Organization
Contact information
Practice address
6142 S PULASKI RD, CHICAGO, IL 60629-4628
(773) 767-4359
(847) 562-0202
Mailing address
6142 S PULASKI RD, CHICAGO, IL 60629-4628
(773) 767-4359
(847) 562-0202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36-083647
IL
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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