DR. THOMAS NORMAN PORTER (NPI# 1396744348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396744348 |
| Entity Type | Individual |
| Full Name | DR. THOMAS NORMAN PORTER |
| Credential | M.D. |
| Practice Address |
755 S Milwaukee Ave Ste 263 Libertyville IL 60048-3253 |
| Practice Telephone | 8473671151 |
| Practice Fax Number | 8473678729 |
| Mailing Telephone | 8473671151 |
| Mailing Fax Number | 8473678729 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2007-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 04915342 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689066714 | Thomas R Porter | In Home Supportive Care | 15 Call Rd, Milford, ME 04461 | 2015-02-26 |
| 1326127119 | Thomas Jenks Porter | Pediatrics | 3600 Matthews Dr, Anchorage, AL 99516-3523 | 2006-11-03 |
| 1265496871 | Thomas I Porter | Optometrist | 1225 S Grand Blvd, Saint Louis, MO 63104-1016 | 2006-04-12 |
| 1689232613 | Thomas Porter | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2019-06-04 |
| 1376070441 | Thomas Albert Porter | Psychologist | 6470 Pearl Rd, Parma Heights, OH 44130-2929 | 2017-05-18 |
| 1073634770 | Thomas Joseph Porter | Pharmacist | 5908 Lyons View Pike, Knoxville, TN 37919-7520 | 2007-04-02 |
| 1235230574 | Thomas W. Porter IIi | Emergency Medicine | 927 Shaw Ave, Pasadena, TX 77506-1430 | 2006-09-26 |
| 1831140391 | Thomas R Porter | Internal Medicine | Emile @ 42nd St, Omaha, NE 68198-8102 | 2006-05-12 |
| 1578520375 | Thomas Coleman Porter | Dentist | 1600 Sw Archer Rd, D4-4, Gainesville, FL 32610-3003 | 2006-04-27 |
| 1871555342 | Thomas Porter | Pediatrics | 240 Mount Lebanon Blvd, Pittsburgh, PA 15234-1243 | 2006-04-03 |
| Street Address |
755 S MILWAUKEE AVE STE 263 |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821463431 | Kidney Care Center Grayslake LLC | Internal Medicine | 755 S Milwaukee Ave, Suite 262, Libertyville, IL 60048-3253 | 2015-12-08 |
| 1588929525 | Opioid Addiction Recovery Services PC | Internal Medicine | 755 S Milwaukee Ave, Suite 210, Libertyville, IL 60048-3253 | 2012-07-05 |
| 1154648798 | Linda Schmeisser | Hearing Instrument Specialist | 755 S Milwaukee Ave, Suite 189, Libertyville, IL 60048-3253 | 2010-04-21 |
| 1104075993 | Rebecca Seymour | Physical Therapist | 755 S Milwaukee Ave, Suite 283, Libertyville, IL 60048-3253 | 2008-09-16 |
| 1558533539 | Ronald L Freeman, M.d., S.c. | Ophthalmology | 755 S Milwaukee Ave, Suite 150, Libertyville, IL 60048-3253 | 2008-03-30 |
| 1912181744 | Hosam Zakariya M.d.,s.c. | Clinic/Center | 755 S Milwaukee Ave, Suite 181, Libertyville, IL 60048-3253 | 2007-12-28 |
| 1053500801 | Thomas N Porter Md Sc | Urology | 755 S Milwaukee Ave, Ste 263, Libertyville, IL 60048-3266 | 2007-10-17 |
| 1073706685 | Thomas H Burnstine, M.d.,s.c. | Specialist | 755 S Milwaukee Ave, Suite 220, Libertyville, IL 60048-3253 | 2007-08-27 |
| 1831391143 | Sharon W Wong Md S.c. | Clinic/Center | 755 S Milwaukee Ave, Suite 220, Libertyville, IL 60048-3253 | 2007-05-31 |
| 1922152131 | Adam Rubinstein Md Sc | Internal Medicine | 755 S Milwaukee Ave, Suite 210, Libertyville, IL 60048-3253 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053500801 | Thomas N Porter Md Sc | Urology | 755 S Milwaukee Ave, Ste 263, Libertyville, IL 60048-3266 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
| 1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.