Individual
LAURA IVETTE PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
9600 GROSS POINT RD STE 1200, SKOKIE, IL 60076-1214
(847) 945-7246
(847) 733-5075
Mailing address
9600 GROSS POINT RD STE 1200, SKOKIE, IL 60076-1214
(847) 945-7246
(847) 733-5075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022746
IL
Other
Enumeration date
11/05/2020
Last updated
05/04/2022
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