Presence Healthcare Services
NPI #1992008882 in Mount Prospect, Illinois
Provider Information
- NPI Number
- 1992008882
- Entity Type
- Organization
- Organization Name
- Presence Healthcare Services
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 15, 2010
- Last Updated
- Apr 10, 2013
Practice Location
- Address
- 601 W CENTRAL RD
- City
- Mount Prospect
- State
- Illinois
- ZIP Code
- 60056-2379
- Phone
- (847) 342-8956
Authorized Official
- Name
- MRS. MELVONNE WICKLIFFE-JONES
- Title
- CREDENTIALING MGR
- Phone
- (630) 914-2417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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