FULTON PORTER III, MD

Internal Medicine

Active Individual
NPI: 1316944341

Practice Address

17850 KEDZIE AVE
3200
Hazel Crest, IL 60429

Phone: (708) 798-8112

Specialties

Specialty Code Primary License
Hospitalist 208M00000X No 01071861A (IN)
Internal Medicine 207R00000X Yes 036101229 (IL)

Frequently Asked Questions

NPI 1316944341 is the National Provider Identifier for FULTON PORTER III, MD, a Internal Medicine provider located in Hazel Crest, IL. This NPI was enumerated on July 5, 2005.
FULTON PORTER III, MD practices at 17850 KEDZIE AVE, 3200, Hazel Crest, IL 60429.

Quick Facts

NPI
1316944341
Type
Individual
Enumerated
Jul 5, 2005
Last Updated
Dec 12, 2022

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