Individual
DR. ANNA CHRISTINE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
820 S WOOD ST, MC 793, CHICAGO, IL 60612-4325
(312) 996-6736
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-048965
IL
207RN0300X
Nephrology Physician
Primary
036.120368
IL
Other
Enumeration date
12/31/2007
Last updated
12/07/2017
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