Individual
CAROL DANIELS PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, M.S.
Contact information
Practice address
718 GLENVIEW AVE, ANESTHESIA DEPARTMENT, HIGHLAND PARK, IL 60035-2432
(847) 480-3852
(847) 480-3712
Mailing address
29885 TANYA TRL, LIBERTYVILLE, IL 60048-1688
(847) 680-3009
(847) 367-8729
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
05/06/2006
Last updated
07/08/2007
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