Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jerry Marvin Porzemsky, PHD

Individual provider Clinical Psychologist · NPI 1982794673

Dr. Jerry Marvin Porzemsky, PHD is a Clinical Psychologist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2909 W Fargo Ave
Chicago, IL 60645-1222
Phone: (773) 262-5757
Fax: (773) 262-4018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0711197 (IL)

Record details

NPI number1982794673
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 13, 2006
Last updated in NPPESJuly 8, 2007

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