PRESENCE AMBULATORY SERVICES NPI 1164780144

NPI Information

  • NPI: 1164780144
  • Provider Name: PRESENCE AMBULATORY SERVICES
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Doing Business As: PRESENCE ADVANCED IMAGING CENTER
  • Address: 205 S NORTHWEST HWY
    SUITE 120
    PARK RIDGE, IL
    ZIP 60068
  • Phone: (847) 292-5200

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NPI Details

PRESENCE AMBULATORY SERVICES is a radiology clinic center in Park Ridge, IL. PRESENCE AMBULATORY SERVICES NPI is 1164780144. The provider is registered as an organization entity type.
The provider Is Doing Business As Presence Advanced Imaging Center.

The provider's business location address is:

205 S NORTHWEST HWY
SUITE 120
PARK RIDGE, IL
ZIP 60068-802
Phone: (847) 292-5200
Fax: (847) 292-5239

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)

The enumeration date for this NPI number is 4/27/2012 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
1261QR0200XClinic/CenterRadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1IL2940MEDICARE PINILLINOIS
2745367MEDICARE PIN

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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