Presence Ambulatory Services

NPI #1114253812 in Norridge, Illinois

Provider Information

NPI Number
1114253812
Entity Type
Organization
Organization Name
Presence Ambulatory Services
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Oct 30, 2009
Last Updated
May 29, 2013

Practice Location

Address
4900 N CUMBERLAND AVE
ZIP Code
60706-2916
Phone
(708) 456-1600

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty

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