Organization
DR. RACHEL PORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL PORT PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(872) 233-8456
Entity
Organization
Contact information
Practice address
2835 N SHEFFIELD AVE, SUITE 202, CHICAGO, IL 60657-5081
(872) 233-8456
Mailing address
2835 N SHEFFIELD AVE, SUITE 202, CHICAGO, IL 60657-5081
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
071.008035
IL
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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