Individual
JEANNE M PORGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 E KIOWA LN, MT PROSPECT, IL 60056-1839
(224) 247-8193
Mailing address
1905 E KIOWA LN, MT PROSPECT, IL 60056-1839
(224) 247-8193
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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