Fulton Porter in Hazel Crest - Internal Medicine
Fulton Porter - NPI 1316944341
Fulton Porter is a Internal Medicine in Hazel Crest, Illinois. Fulton Porter practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Fulton Porter is 1316944341. The last update date is 2022-12-12.
Fulton Porter's current location address is 17850 Kedzie Ave, Hazel Crest, Illinois. You can contact this provider via phone number 7087988112 and fax number 7087989016. The mailing address for Fulton Porter is 17850 Kedzie Ave, Hazel Crest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fulton Porter |
|---|---|
| Address | 17850 Kedzie Ave, Hazel Crest, Illinois |
| Phone Number | 7087988112 |
| Fax Number | 7087989016 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316944341 |
|---|---|
| Provider Enumeration Date | 2005-07-05 |
| Last Updated Date | 2022-12-12 |
Provider Mailing Address Detail
| Address | 17850 Kedzie Ave |
|---|---|
| City | Hazel Crest |
| State | Illinois (IL) |
| Post Code | 6042920580 |
| Phone Number | 7087988112 |
| Fax Number | 7087989016 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36101229 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36101229 | IL | -- | |
| P00439469/CK688 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Fulton Porter by the Centers for Medicare & Medicaid Services?
The Fulton Porter has been assigned the NPI (National Provider Identifier) 1316944341. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Fulton Porter?
The Fulton Porter is situated at 17850 Kedzie Ave, in the city of Hazel Crest, state of IL, with the zip code 6042920580.
What is Fulton Porter's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Fulton Porter's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316944341 to Fulton Porter?
The Fulton Porter received its 1316944341 assignment from the Centers for Medicare & Medicaid Services on 2005-07-05.
When was the information related to Fulton Porter most recently updated or refreshed?
The details pertaining to the Fulton Porter, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-12-12.