Individual
CINDY SUE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2150 N LINCOLN PARK W, #1411, CHICAGO, IL 60614-4652
(773) 828-4480
Mailing address
2150 N LINCOLN PARK W, #1411, CHICAGO, IL 60614-4652
(773) 828-4480
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
051034274
IL
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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