Porter, Rita Marie

Porter, Rita Marie is an individual health care provider with primary practice located at 1230 N Highland Ave , Aurora IL 60506-1401. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Porter, Rita Marie can be contacted via phone (630) 966-4000.

Contact Information

Primary practice address
1230 N Highland Ave Aurora IL 60506-1401
Phone: (630) 966-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3887-125 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180-002881 Illinois

Profile Details

NPI number 1144423906
LBN Legal business name Porter, Rita Marie
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated May 3rd, 2012 - about 12 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 1144423906 NPPES
Wisconsin MEDICAID 43719600

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