Porter, Caitlin Griffin

Porter, Caitlin Griffin is an individual health care provider with primary practice located at 25 Tower Ct Ste B , Gurnee IL 60031-3318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Porter, Caitlin Griffin can be contacted via phone (847) 618-0730.

Contact Information

Primary practice address
25 Tower Ct Ste B Gurnee IL 60031-3318
Phone: (847) 618-0730
Fax: (847) 224-0222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.005224 Illinois

Profile Details

NPI number 1639574155
LBN Legal business name Porter, Caitlin Griffin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2014
Last updated Apr 9th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639574155 NPPES
Illinois Other 085005224 STATE LICENSE

Popular Providers