Individual
MEYA L PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-C
Contact information
Practice address
1006 NORTH BLVD, OAK PARK, IL 60301-1178
(224) 400-7086
Mailing address
8142 S AVALON AVE, CHICAGO, IL 60619-4524
(224) 400-7086
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041438455
IL
163W00000X
Registered Nurse
28270910A
IN
163WI0500X
Infusion Therapy Registered Nurse
041438455
IL
163WI0500X
Infusion Therapy Registered Nurse
28270910A
IN
163WS0200X
School Registered Nurse
041438455
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209033079
IL
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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