PRESENCE HEALTHCARE SERVICES (NPI# 1093780181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093780181 |
| Entity Type | Organization |
| Organization Name | PRESENCE HEALTHCARE SERVICES |
| Other Organization Name | PRESENCE MEDICAL GROUP |
| Practice Address |
5600 W Addison St Suite 301 Chicago IL 60634-4401 |
| Mailing Address |
1000 Remington Boulevard Suite 100 Bolingbrook IL 60440-0000 |
| Practice Telephone | 7737364553 |
| Practice Fax Number | 7732051997 |
| Mailing Telephone | 6309142417 |
| Mailing Fax Number | 6309142499 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2013-04-10 |
| Authorized Official Name | MRS. MELVONNE WICKLIFFE-JONES (CREDENTIALING MGR) |
| Authorized Official Telephone | 6309142417 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036067614 | 05 |
| Other Name | Type Code |
|---|---|
| Presence Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043748338 | Presence Healthcare Services | Internal Medicine | 1000 Remington Blvd Ste 100, Bolingbrook, IL 60440-4707 | 2017-05-31 |
| 1356727127 | Presence Healthcare Services | Internal Medicine | 2601 Navistar Dr Fl 2, Lisle, IL 60532-3679 | 2015-08-04 |
| 1295019842 | Presence Healthcare Services | Family Medicine | 3046 N Ashland Ave, Chicago, IL 60657-3034 | 2011-09-30 |
| 1851672224 | Presence Healthcare Services | Internal Medicine | 1792 East Oakton Street, Chicago, IL 60018-2110 | 2011-08-30 |
| 1902198161 | Presence Healthcare Services | Family Medicine | 5251 North Milwaukee Avenue, Chicago, IL 60630-4437 | 2011-05-06 |
| 1528359924 | Presence Healthcare Services | Family Medicine | 1431 North Western Avenue, Suite 502, Chicago, IL 60622-1797 | 2011-04-20 |
| 1699078238 | Presence Healthcare Services | Internal Medicine | 5747 West Dempster Street, Morton Grove, IL 60053-3056 | 2010-12-20 |
| 1760701841 | Presence Healthcare Services | Otolaryngology | 5308 North Belmont Avenue, Chicago, IL 60641-0000 | 2010-05-27 |
| 1841381738 | Presence Healthcare Services | Pharmacy | 100 N. River Road, Suite 122s, Des Plaines, IL 60016-1209 | 2006-09-27 |
| 1932216819 | Presence Healthcare Services | Family Medicine | 2601 Navistar Dr Fl 3, Lisle, IL 60532-3679 | 2006-08-24 |
| Street Address |
5600 W ADDISON ST SUITE 301 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634-4401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798476 | Ziauddin Ahmed | Internal Medicine | 5600 W Addison St, Ste 301, Chicago, IL 60634-4468 | 2005-05-27 |
| 1649833161 | Roy Medical Group LLC | Family Medicine | 5600 W Addison St, Suite 304, Chicago, IL 60634 | 2019-04-19 |
| 1699287854 | Shannon Lee Switzer | Audiologist | 5600 W Addison St, Chicago, IL 60634-4401 | 2017-10-27 |
| 1083085807 | Better Hearing Services, Inc | Audiologist | 5600 W Addison St, Ste 502, Chicago, IL 60634-4401 | 2015-10-20 |
| 1568887354 | Respiratory, Critical Care and Sleep Specialists, LLC | Internal Medicine | 5600 W Addison St, Suite 306, Chicago, IL 60634-4401 | 2014-03-03 |
| 1083951131 | Eymard Silva Dpm PC | Podiatrist | 5600 W Addison St, Suite 206, Chicago, IL 60634-4401 | 2013-01-09 |
| 1750651204 | Resurrection Services | Obstetrics & Gynecology | 5600 W Addison St, Ste 504, Chicago, IL 60634-4401 | 2011-12-30 |
| 1548539943 | Karin Fiedler, M.d. | Pediatrics | 5600 W Addison St, Suite 501, Chicago, IL 60634-4401 | 2011-12-14 |
| 1841585775 | Mukesh K Ahluwalia PC | Internal Medicine | 5600 W Addison St, Suite 306, Chicago, IL 60634-4401 | 2011-06-20 |
| 1477885242 | Kathleen M Scarpulla, Md, Sc | Ophthalmology | 5600 W Addison St, Suite 403, Chicago, IL 60634-4401 | 2010-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1306086624 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3615 N. Central Ave, Chicago, IL 60634 | 2009-02-26 |
| Find all providers in zip 60634 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
| 1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
| 1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
| 1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
| 1407209208 | Mount Sinai Hospital Medical Center | Clinic/Center | 1501 S California Ave # L1026, Chicago, IL 60608-1732 | 2016-07-16 |
| 1487058731 | Encinas Medical Center | Clinic/Center | 4614 S Ashland Ave, Chicago, IL 60609-3251 | 2014-10-15 |
| 1366872061 | Lawndale Christian Health Center | Clinic/Center | 5122 S Archer Ave, Chicago, IL 60632-4508 | 2013-11-15 |
| 1083051643 | Oak Street Health Physicians Group, PC | Clinic/Center | 30 W Monroe St Ste 1200, Chicago, IL 60603-2420 | 2013-05-22 |
| 1043564529 | Triple S Medical Care S.c. | Clinic/Center | 6455 S Pulaski Rd, Chicago, IL 60629 | 2012-11-05 |
| 1548541022 | Valentinalb,s.c. | Clinic/Center | 5108 N Lincoln Ave, Chicago, IL 60625-7295 | 2011-08-29 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.