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PRESENCE AMBULATORY SERVICES NPI 1831435841


NPI Information

NPI: 1831435841
Provider Name: PRESENCE AMBULATORY SERVICES

Doing Business As: PRESENCE NORTHSHORE PHYSICIANS GROUP ADVANCED IMAGING CENTER

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
9312 SKOKIE BLVD
SKOKIE, IL
ZIP 60077
Phone: (847) 329-7788
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PRESENCE AMBULATORY SERVICES is a radiology clinic center in Skokie, IL. PRESENCE AMBULATORY SERVICES NPI is 1831435841. The provider is registered as an organization entity type.
The provider Is Doing Business As Presence Northshore Physicians Group Advanced Imaging Center.

The provider's business location address is:

9312 SKOKIE BLVD
SKOKIE, IL
ZIP 60077-309
Phone: (847) 329-7788

The provider's authorized official is Melvonne Wickliffe-jones .
The authorized official title is Manager, Credentialing & Provider R and has the following contact phone number (630) 914-2417.

The enumeration date for this NPI number is 12/19/2012 and was last updated on 3/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0200XClinic/CenterRadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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