Presence Ambulatory Services
NPI #1124355904 in Des Plaines, Illinois
Provider Information
- NPI Number
- 1124355904
- Entity Type
- Organization
- Organization Name
- Presence Ambulatory Services
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Nov 16, 2009
- Last Updated
- May 29, 2013
Practice Location
- Address
- 150 N RIVER RD
- City
- Des Plaines
- State
- Illinois
- ZIP Code
- 60016-1272
- Phone
- (847) 813-3510
Authorized Official
- Name
- MRS. MELVONNE WICKLIFFE-JONES
- Title
- CREDENTIALING MGR
- Phone
- (630) 914-2417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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