PRESENCE PROVISO FAMILY SERVICES INC NPI 1235411703

NPI Information

NPI: 1235411703
Provider Name: PRESENCE PROVISO FAMILY SERVICES INC

Doing Business As: PROVISO FAMILY SERVICES INC

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
2940 N ASHLAND AVE
CHICAGO, IL
ZIP 60657
Phone: (773) 525-4440
Get Directions

PRESENCE PROVISO FAMILY SERVICES INC is a family nurse practitioner in Chicago, IL. PRESENCE PROVISO FAMILY SERVICES INC NPI is 1235411703. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Proviso Family Services Inc.

The provider's business location address is:

2940 N ASHLAND AVE
CHICAGO, IL
ZIP 60657-004
Phone: (773) 525-4440
Fax: (773) 525-7771

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 enumeration date for this NPI number is 9/12/2011 and was last updated on 4/9/2013.

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
1	363LF0000X	Nurse Practitioner	Family		ILLINOIS	Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »