Thomas N Porter MD Sc

NPI #1053500801 in Libertyville, Illinois

Provider Information

NPI Number: 1053500801
Entity Type: Organization
Organization Name: Thomas N Porter MD Sc
Primary Specialty: Urology
Enumeration Date: Oct 17, 2007
Last Updated: Oct 17, 2007

Practice Location

Address: 755 S MILWAUKEE AVE
Address 2: STE 263
City: Libertyville
State: Illinois
ZIP Code: 60048-3266
Phone: (847) 367-1151

Authorized Official

Name: DR. THOMAS N PORTER, MD
Title: PHYSICIAN, PRESIDENT
Phone: (847) 367-1151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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