Porcelli, Timothy W

Porcelli, Timothy W is an individual health care provider with primary practice located at 3723 N Southport , Chicago IL 60613-3718. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Porcelli, Timothy W can be contacted via phone (312) 409-2175.

Contact Information

Primary practice address
3723 N Southport Chicago IL 60613-3718
Phone: (312) 409-2175
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X Illinois

Profile Details

NPI number 1699896431
LBN Legal business name Porcelli, Timothy W
Credentials LCPED
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699896431 NPPES
Illinois Other 1670909 BLUE CROSS

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