Presence Healthcare Services

NPI #1699078238 in Morton Grove, Illinois

Provider Information

NPI Number
1699078238
Entity Type
Organization
Organization Name
Presence Healthcare Services
Primary Specialty
Internal Medicine
Enumeration Date
Dec 20, 2010
Last Updated
Apr 10, 2013

Practice Location

Address
5747 WEST DEMPSTER STREET
ZIP Code
60053-3056
Phone
(708) 324-8700

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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