PRESENCE AMBULATORY SERVICES NPI 1851628630

NPI Information

NPI: 1851628630
Provider Name: PRESENCE AMBULATORY SERVICES
Classification: Clinic/Center - 261QM1200X
Specialization: Magnetic Resonance Imaging (MRI)
Entity Type: Organization
Doing Business As: RESURRECTION OPEN MRI & IMAGING CENTER
Address: 3101 N HARLEM AVE
CHICAGO, IL
ZIP 60634
Phone: (773) 836-9360

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NPI Details

PRESENCE AMBULATORY SERVICES is a magnetic resonance imaging (mri) clinic center in Chicago, IL. PRESENCE AMBULATORY SERVICES NPI is 1851628630. The provider is registered as an organization entity type.
The provider Is Doing Business As Resurrection Open Mri & Imaging Center.

The provider's business location address is:

3101 N HARLEM AVE
CHICAGO, IL
ZIP 60634-532
Phone: (773) 836-9360
Fax: (773) 745-5522

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.

Mri scan of lower spinal canal without contrast (HCPCS:72148)
Mri scan of arm joint without contrast (HCPCS:73221)
Mri scan of leg joint without contrast (HCPCS:73721)
Mri scan of upper spinal canal without contrast (HCPCS:72141)
Mri scan of brain before and after contrast (HCPCS:70553)
Mri scan of brain without contrast (HCPCS:70551)

The enumeration date for this NPI number is 11/16/2009 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	Primary
1	261QR0200X	Clinic/Center	Radiology	No
2	261QR0206X	Clinic/Center	Radiology, Mammography	No
3	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	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: 11/21/2025

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