Individual
MARIA KEZIA LOURDES LIGSAY PORMENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MBA
Contact information
Practice address
1431 N WESTERN AVE STE 406, CHICAGO, IL 60622-1774
(312) 633-5841
(312) 491-5020
Mailing address
1431 N WESTERN AVE STE 406, CHICAGO, IL 60622-1774
(312) 633-5841
(312) 491-5020
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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