Marc Porter

NPI #1992368534 in Evanston, Illinois

Provider Information

NPI Number: 1992368534
Entity Type: Individual
Name: Marc Porter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Apr 18, 2019
Last Updated: Aug 31, 2020

Practice Location

Address: 355 RIDGE AVE
City: Evanston
State: Illinois
ZIP Code: 60202-3399
Phone: (847) 316-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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