Individual
BROOKLYN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
89 CEDAR AVE, LAKE VILLA, IL 60046-8411
(847) 265-7300
Mailing address
PO BOX 764, LAKE VILLA, IL 60046-0764
(847) 265-7300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242018569
IL
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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