PRESENCE AMBULATORY SERVICES NPI 1114253812

NPI Information

  • NPI: 1114253812
  • Provider Name: PRESENCE AMBULATORY SERVICES
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: PRESENCE IMMEDIATE CARE CENTER - NORRIDGE
  • CLIA Number: 14D2073741
  • Address: 4900 N CUMBERLAND AVE
    NORRIDGE, IL
    ZIP 60706
  • Phone: (708) 456-1600

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NPI Details

PRESENCE AMBULATORY SERVICES is a multi-specialty clinic center in Norridge, IL. PRESENCE AMBULATORY SERVICES NPI is 1114253812. The provider is registered as an organization entity type.
The provider Is Doing Business As Presence Immediate Care Center - Norridge.

The provider's business location address is:

4900 N CUMBERLAND AVE
NORRIDGE, IL
ZIP 60706-916
Phone: (708) 456-1600
Fax: (708) 463-2781

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

The CLIA number assigned to this NPI record is 14D2073741 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2009 and was last updated on 5/29/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/21/2025

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