Presence Healthcare Services

NPI #1821191867 in Evanston, Illinois

Provider Information

NPI Number: 1821191867
Entity Type: Organization
Organization Name: Presence Healthcare Services
Primary Specialty: Internal Medicine
Enumeration Date: Sep 6, 2006
Last Updated: Apr 9, 2013

Practice Location

Address: 800 AUSTIN ST
Address 2: SUITE #451 EAST TOWER
City: Evanston
State: Illinois
ZIP Code: 60202-3439
Phone: (847) 316-6611

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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