Individual
DR. BRETT PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S. FIRST AVENUE, LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153-0000
(708) 216-8757
(708) 216-1259
Mailing address
2160 S. FIRST AVENUE, LOYOLA UMC LUH NORTH ENTRANCE RM 7609, MAYWOOD, IL 60153-3328
(708) 216-8757
(708) 216-1259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125062122
IL
Other
Enumeration date
05/01/2012
Last updated
09/16/2021
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