Jeanne M Porges

NPI #1629615273 in Mt Prospect, Illinois

Provider Information

NPI Number: 1629615273
Entity Type: Individual
Name: Jeanne M Porges
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 3, 2019
Last Updated: Dec 3, 2019

Practice Location

Address: 1905 E KIOWA LN
City: Mt Prospect
State: Illinois
ZIP Code: 60056-1839
Phone: (224) 247-8193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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