Port, Jeffrey H

Port, Jeffrey H is an individual health care provider with primary practice located at 9921 Southwest Hwy , Oak Lawn IL 60453-3767. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Port, Jeffrey H can be contacted via phone (708) 499-5678.

Contact Information

Primary practice address
9921 Southwest Hwy Oak Lawn IL 60453-3767
Phone: (708) 499-5678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-060518 Illinois

Profile Details

NPI number 1285635987
LBN Legal business name Port, Jeffrey H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jan 28th, 2009 - about 15 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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