Individual
ARIELLE PORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-7054
(773) 296-7818
Mailing address
29373 NETWORK PLACE, CHICAGO, IL 60697-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-142959
IL
Other
Enumeration date
04/08/2014
Last updated
06/11/2024
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