Presence Proviso Family Services INC
NPI #1235411703 in Chicago, Illinois
Provider Information
- NPI Number
- 1235411703
- Entity Type
- Organization
- Organization Name
- Presence Proviso Family Services INC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 12, 2011
- Last Updated
- Apr 9, 2013
Practice Location
Authorized Official
- Name
- MRS. MELVONNE WICKLIFFE-JONES
- Title
- CREDENTIALING MGR
- Phone
- (630) 914-2417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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