Port, Richard Mark

Port, Richard Mark is an individual health care provider with primary practice located at 1 E Phillip Rd Suite 102, Vernon Hills IL 60061-1858. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Port, Richard Mark can be contacted via phone (847) 367-6068.

Contact Information

Primary practice address
1 E Phillip Rd Suite 102 Vernon Hills IL 60061-1858
Phone: (847) 367-6068
Fax: (847) 367-6079
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X Illinois

Profile Details

NPI number 1518033828
LBN Legal business name Port, Richard Mark
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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