MILDRED MARIE PORTER
NPI 1114471885
Nurse Practitioner - Family in Chicago, IL

Active since August 10, 2016
2259 S WESTERN AVE APT 2, CHICAGO, IL 60608(312) 738-3355 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mildred Marie Porter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILDRED MARIE PORTER (NPI 1114471885) is an individual family provider in Chicago, Illinois, licensed in Illinois (209013926) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1114471885
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMILDRED MARIE PORTER
Location Address2259 S WESTERN AVE APT 2Chicago, IL 60608-4476
Mailing Address14442 Abbottsford RdMidlothian, IL 60445-2902 · (708) 371-7817
Sole ProprietorNo
Enumeration DateAugust 10, 2016
NPI 1114471885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209013926
2259 S WESTERN AVE APT 2, Chicago, IL 60608

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mildred Porter's NPI number?

The NPI number for Mildred Porter is 1114471885. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Where is Mildred Porter located?

Mildred Porter practices at 2259 S Western Ave Apt 2, Chicago, IL 60608. The listed phone number is (312) 738-3355.

What is Mildred Porter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mildred Porter was last updated on August 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.