Provider Type Icon

THOMAS N PORTER MD SC NPI 1053500801


NPI Information

NPI: 1053500801
Provider Name: THOMAS N PORTER MD SC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
755 S MILWAUKEE AVE
STE 263
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 367-1151
Get Directions

THOMAS N PORTER MD SC is an urology in Libertyville, IL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. THOMAS N PORTER MD SC NPI is 1053500801. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

755 S MILWAUKEE AVE
STE 263
LIBERTYVILLE, IL
ZIP 60048-266
Phone: (847) 367-1151
Fax: (847) 367-8729

The provider's authorized official is Thomas N Porter .
The authorized official title is Physician, President and has the following contact phone number (847) 367-1151.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 10/17/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104915342OTHERILLINOISBLUE CROSS BLUE SHIELD
2364800MEDICARE OSCAR/CERTIFICATIONILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.