PRESENCE HEALTHCARE SERVICES NPI 1891073367

NPI Information

  • NPI: 1891073367
  • Provider Name: PRESENCE HEALTHCARE SERVICES
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PRESENCE MEDICAL GROUP
  • Address: 3002 N ASHLAND AVE
    CHICAGO, IL
    ZIP 60657
  • Phone: (773) 224-0441

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NPI Details

PRESENCE HEALTHCARE SERVICES is a family medicine in Chicago, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PRESENCE HEALTHCARE SERVICES NPI is 1891073367. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Presence Medical Group.

The provider's business location address is:

3002 N ASHLAND AVE
CHICAGO, IL
ZIP 60657-012
Phone: (773) 224-0441
Fax: (773) 224-0906

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 8/1/2011 and was last updated on 4/10/2013.

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
1207Q00000XFamily Medicine036052112ILLINOISNo
2207Q00000XFamily MedicineYes

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
1745367MEDICARE PIN
2036052112MEDICAIDILLINOIS

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: 3/30/2025

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