Individual
MRS. SUSAN H PORTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 S MICHIGAN AVE, 305, CHICAGO, IL 60616-2857
(312) 326-4500
(312) 326-1200
Mailing address
2600 S MICHIGAN AVE, 305, CHICAGO, IL 60616-2857
(312) 326-4500
(312) 326-1200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036074744
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074744
—
IL
Enumeration date
10/20/2005
Last updated
05/27/2022
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