Porta, Nicolas Fm

Porta, Nicolas Fm is an individual health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611-2991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Porta, Nicolas Fm can be contacted via phone (800) 543-7362.

Contact Information

Primary practice address
225 E Chicago Ave Chicago IL 60611-2991
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036100613 Illinois

Profile Details

NPI number 1790739084
LBN Legal business name Porta, Nicolas Fm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jun 26th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790739084 NPPES
Illinois MEDICAID 036-100613

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