Individual
JEFFREY H PORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9921 SOUTHWEST HWY, OAK LAWN, IL 60453-3767
(708) 499-5678
Mailing address
1111 W VERNON PARK PL, CHICAGO, IL 60607-3424
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036060518
IL
Other
Enumeration date
08/03/2005
Last updated
06/06/2025
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