PRESENCE AMBULATORY SERVICES NPI 1851628630

NPI Information

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 CLIA number assigned to this NPI record is 14D2099674 - other with a certificate type of Certificate of Waiver.

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:

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