MEDICARE: CAROL DANIELS PORTER CRNA, M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist		IL

General Provider Information

NPI Number	:	1265481584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL DANIELS PORTER CRNA, M.S.

Provider Business Mailing Address
First Line	:	29885 TANYA TRL
Second Line	:
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-1688
Country	:	US
Telephone Number	:	847-680-3009
Fax Number	:	847-367-8729

Provider Business Practice Location Address
First Line	:	718 GLENVIEW AVE
Second Line	:	ANESTHESIA DEPARTMENT
City	:	HIGHLAND PARK
State	:	IL
Zip	:	60035-2432
Country	:	US
Telephone Number	:	847-480-3852
Fax Number	:	847-480-3712

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1396785432 — DR. JOSEPH P. GIBES MD
Practice Location Address:

718 GLENVIEW AVE
HIGHLAND PARK, IL
60035-2432

Practice Phone: 847-926-5000
Practice Fax: 847-480-2687

1770527236 — ENDEAVOR HEALTH CLINICAL OPERATIONS
Practice Location Address:

718 GLENVIEW AVE
HIGHLAND PARK, IL
60035-2432

Practice Phone: 847-432-8000
Practice Fax: 847-432-9305

1578599056 — DR. LINDA C. SHERBAHN MD
Practice Location Address:

718 GLENVIEW AVE , DEPARTMENT OF RADIOLOGY
HIGHLAND PARK, IL
60035-2432

Practice Phone: 847-480-3744
Practice Fax: 847-480-3851

1942230511 — DR. DAVID RABIN MD
Practice Location Address:

718 GLENVIEW AVE , DEPARTMENT OF RADIOLOGY
HIGHLAND PARK, IL
60035-2432

Practice Phone: 847-480-3744
Practice Fax: 847-480-3851

1497785497 — RICHARD L. BRICKNER MD
Practice Location Address:

718 GLENVIEW AVE
HIGHLAND PARK, IL
60035-2432

Practice Phone: 847-480-3852
Practice Fax: 847-480-3712

1982634986 — STEVEN M DOBRYMAN MD
Practice Location Address:

718 GLENVIEW AVE
HIGHLAND PARK, IL
60035-2432

Practice Phone: 847-480-3852
Practice Fax: 847-480-3712

Directions to “ CAROL DANIELS PORTER CRNA, M.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.