Individual
KATHARINE MINOT PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
636 CHURCH ST, SUITE 610, EVANSTON, IL 60201-4508
(847) 864-9055
(847) 864-1998
Mailing address
636 CHURCH ST, SUITE 610, EVANSTON, IL 60201-4508
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36-114816
IL
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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