Individual
DR. SUZANNE PORER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, MSN, MS, RN
Contact information
Practice address
832 CENTER ST, DES PLAINES, IL 60016-6404
(312) 636-0453
Mailing address
832 CENTER ST, DES PLAINES, IL 60016-6404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.497462
IL
163W00000X
Registered Nurse
255477-30
WI
225100000X
Physical Therapist
070.012257
IL
363L00000X
Nurse Practitioner
Primary
209.026230
IL
Other
Enumeration date
02/25/2022
Last updated
10/28/2022
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