NPI 1275349862
Shauntrese Porch, RN
Practice location
- Address
- 9149 S Albany Ave, Evergreen Park, IL 60805-1718
- Phone
- (773) 320-7757
- Mailing address
- PO Box 508, Oak Lawn, IL 60454-0508
Registered specialties
Registered Nurse
Primary
Registry record
- NPI
- 1275349862
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Dec 2024
- Record last updated
- 9 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.