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

Shaun Porter

Individual provider Physical Therapist · NPI 1649523200

Shaun Porter is a Physical Therapist in Maywood, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070007372 (IL)

Record details

NPI number1649523200
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 19, 2012
Last updated in NPPESOctober 19, 2012
Mailing address2160 S. First Avenue, Maywood, IL 60153

Other providers in Maywood