Individual
MS. NANCY L PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-4921
Mailing address
5113 OAK CENTER DR, OAK LAWN, IL 60453-3939
(708) 423-0755
Taxonomy
Speciality
Code
Description
License number
State
364SX0200X
Oncology Clinical Nurse Specialist
Primary
209003466
IL
Other
Enumeration date
06/14/2007
Last updated
02/08/2022
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