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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FULTON PORTER III, MD

Active

FULTON PORTER III, MD is a Internal Medicine healthcare provider located in HAZEL CREST, Illinois. NPI 1316944341 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · HAZEL CREST, IL

Registration Details

NPI Number
1316944341
Provider Type
Individual
Gender
Male
NPI Issued
Jul 5, 2005 (21.123728610889 yrs)
Last Updated
Dec 12, 2022
Licenses
01071861A (IN)
036101229 (IL)

Practice Information

Address
17850 KEDZIE AVE
3200
HAZEL CREST, IL, 604292058
Browse IL providers · Browse ZIP 60429
Phone
7087988112
Fax
7087989016
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in HAZEL CREST, IL

Name Credential NPI
NANETTE GORMLEY MD 1730186842
MIR M ALI MD 1407853435
DR. NADER M BESHAY MD 1780673897
OLALEKAN SOWADE M.D. 1962486274
VARSHA BHAN MD 1326024357
DR. RITA PAMELA SALDANHA M.D. 1073560512
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.