Individual
DR. KATHLEEN J PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
7325 W 79TH ST, BRIDGEVIEW, IL 60455
(708) 594-6611
Mailing address
7325 W 79TH ST, BRIDGEVIEW, IL 60455-1581
(708) 594-6611
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051291664
IL
Other
Enumeration date
05/17/2012
Last updated
08/14/2018
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