Presence Ambulatory Services

NPI #1831435841 in Skokie, Illinois

Provider Information

NPI Number
1831435841
Entity Type
Organization
Organization Name
Presence Ambulatory Services
Subpart
Yes (part of a larger organization)
Parent Organization
PRESENCE HEALTHCARE SERVICES
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Dec 19, 2012
Last Updated
Mar 12, 2013

Practice Location

Address
9312 SKOKIE BLVD
City
Skokie
ZIP Code
60077-1309
Phone
(847) 329-7788

Authorized Official

Name
MELVONNE WICKLIFFE-JONES
Title
MANAGER, CREDENTIALING & PROVIDER R
Phone
(630) 914-2417

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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