Organization
LEMONT PRIMARY CARE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PORTER MD (PRESIDENT)
(630) 257-2265
Entity
Organization
Contact information
Practice address
15505 127TH ST, LEMONT, IL 60439-4433
(630) 257-2265
Mailing address
15505 127TH ST, LEMONT, IL 60439-4433
(630) 257-2265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
08/21/2006
Last updated
12/31/2024
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