Porter, Tamika L
Porter, Tamika L is an sole proprietor health care provider with primary practice located at 4137 Sauk Trl Ste 153 , Richton Park IL 60471-1253. She recently has only one registered license in Agencies / In Home Supportive Care, which is considered as her primary health care specialty. Porter, Tamika L can be contacted via phone (708) 752-6620.Contact Information
Primary practice address
4137 Sauk Trl Ste 153
Richton Park IL 60471-1253
Phone: (708) 752-6620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / In Home Supportive Care | 253Z00000X |
Profile Details
| NPI number | 1164169827 |
|---|---|
| LBN Legal business name | Porter, Tamika L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2022 |
| Last updated | May 15th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164169827 | NPPES |
| Illinois | MEDICAID | 881739241 |
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