Michael J. Porter
Clinical Cardiac Electrophysiologist
13011 S 104th Ave Ste 100
Palos Park
, Illinois 60464-1508
Michael J. Porter
Clinical Cardiac Electrophysiologist
13011 S 104th Ave Ste 100
Palos Park
, Illinois 60464-1508
(708) 478-3552
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About
Features
Specialties
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Michael J. Porter
- 13011 S 104th Ave Ste 100
- Palos Park, IL
- Zip : 60464-1508
- Fax : (708) 478-3552
- Phone : (708) 478-3600
Second Address
- Michael J. Porter
- 13011 S 104th Ave Ste 100
- Palos Park, IL
- Zip : 60464-1508
- Fax : (708) 478-3299
- Phone : (708) 274-3278
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 036104654 | IL |
| N | 207RC0001X | Clinical Cardiac Electrophysiologist | 50709 | CO |
| N | 207RC0001X | Clinical Cardiac Electrophysiologist | A96097 | CA |
National Provider Identifier
| NPI | 1225074511 |
|---|---|
| Provider Name | Michael J. Porter |
| First Address | Palos Park, IL 60464-1508 |
| Second Address | Palos Park, IL 60464-1508 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2006 |
| Last Update Date | 10/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A960290 | (05) | CA |
| 55557007 | (05) | CO |
| I55739 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.