Individual
THOMAS W PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1675 W DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 723-2210
(847) 723-6987
Mailing address
1675 W DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 723-2210
(847) 723-6987
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2023022074
MO
Other
Enumeration date
06/26/2023
Last updated
04/07/2026
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