Portnoy, Dayna Nicole

Portnoy, Dayna Nicole is an individual health care provider with primary practice located at 1200 Central Ave Suite 200, Wilmette IL 60091-2654. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Nursing Service Providers / General Practice is her primary health care specialty. Portnoy, Dayna Nicole can be contacted via phone (847) 256-1705.

Contact Information

Primary practice address
1200 Central Ave Suite 200 Wilmette IL 60091-2654
Phone: (847) 256-1705
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 041-265829 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-006098 Illinois

Profile Details

NPI number 1265476345
LBN Legal business name Portnoy, Dayna Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265476345 NPPES
Illinois Other P00378000 MEDICARE RAILROAD
Illinois MEDICAID XXXXXXXXX-001 MEDICARE RAILROAD

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