Fulton Porter III, MD
NPI #1316944341 in Hazel Crest, Illinois
Provider Information
- NPI Number
- 1316944341
- Entity Type
- Individual
- Name
- Fulton Porter III, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- MD
- Enumeration Date
- Jul 5, 2005
- Last Updated
- Dec 12, 2022
Practice Location
- Address
- 17850 KEDZIE AVE
- Address 2
- 3200
- City
- Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-2058
- Phone
- (708) 798-8112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospitalist |
| Internal Medicine |
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