Presence Healthcare Services

NPI #1093780181 in Chicago, Illinois

Provider Information

NPI Number
1093780181
Entity Type
Organization
Organization Name
Presence Healthcare Services
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Feb 22, 2006
Last Updated
Apr 10, 2013

Practice Location

Address
5600 W ADDISON ST
Address 2
SUITE 301
ZIP Code
60634-4401
Phone
(773) 736-4553

Authorized Official

Name
MRS. MELVONNE WICKLIFFE-JONES
Title
CREDENTIALING MGR
Phone
(630) 914-2417

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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