Individual
MR. MICHAEL ANDREW PORADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5948 W LAWRENCE AVE, CHICAGO, IL 60630
(773) 545-3789
(773) 545-1867
Mailing address
7058 W BRENNAN PL, NILES, IL 60714
(847) 663-9231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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