| Doctor Name: | MS. NANCY L PORTER |
| NPI Number: | 1033313648 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | |
| Business Practice Address: | 2160 S 1st Ave Maywood, IL - 601533328 |
| Business Phone Number: | 7082164921 |
| Business Fax Number: | |
| Mailing Address: | 5113 Oak Center Dr, OAK LAWN |
| State: | IL |
| Postal Code: | 604533939 |
| Phone Number: | 7084230755 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SX0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Oncology |
| Taxonomy Definition: | |