PRESENCE AMBULATORY SERVICES (NPI# 1164780144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164780144 |
| Entity Type | Organization |
| Organization Name | PRESENCE AMBULATORY SERVICES |
| Other Organization Name | PRESENCE ADVANCED IMAGING CENTER |
| Practice Address |
205 S Northwest Hwy Suite 120 Park Ridge IL 60068-5802 |
| Mailing Address |
1000 Remington Blvd Suite 100 Bolingbrook IL 60440-0000 |
| Practice Telephone | 8472925200 |
| Practice Fax Number | 8472925239 |
| Mailing Telephone | 6309142417 |
| Mailing Fax Number | 6309142499 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2013-05-29 |
| 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 | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PRESENCE ADVANCED IMAGING CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962945055 | Presence Ambulatory Services | Clinic/Center | 500 S Weber Rd, Romeoville, IL 60446-6528 | 2016-11-22 |
| 1831435841 | Presence Ambulatory Services | Clinic/Center | 9312 Skokie Blvd, Skokie, IL 60077-1309 | 2012-12-19 |
| 1144588617 | Presence Ambulatory Services | Clinic/Center | 205 S Northwest Hwy, Suite 120, Park Ridge, IL 60068-5802 | 2012-05-02 |
| 1780913368 | Presence Ambulatory Services | Clinic/Center | 150 N River Rd, Des Plaines, IL 60016-1272 | 2009-12-10 |
| 1124355904 | Presence Ambulatory Services | Clinic/Center | 150 N River Rd, Des Plaines, IL 60016-1272 | 2009-11-16 |
| 1851628630 | Presence Ambulatory Services | Clinic/Center | 3101 N Harlem Ave, Chicago, IL 60634-4532 | 2009-11-16 |
| 1447587225 | Presence Ambulatory Services | Clinic/Center | 7230 W North Ave, Suite 106b, Elmwood Park, IL 60707-4261 | 2009-11-16 |
| 1932436094 | Presence Ambulatory Services | Clinic/Center | 4900 N Cumberland Ave, Norridge, IL 60706-2916 | 2009-11-11 |
| 1407182108 | Presence Ambulatory Services | Clinic/Center | 7230 W North Ave, Suite 106b, Elmwood Park, IL 60707-4261 | 2009-10-30 |
| 1114253812 | Presence Ambulatory Services | Clinic/Center | 4900 N Cumberland Ave, Norridge, IL 60706-2916 | 2009-10-30 |
| Street Address |
205 S NORTHWEST HWY SUITE 120 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-5802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920824 | Voula Asimacopoulos | Internal Medicine | 205 S Northwest Hwy, Park Ridge, IL 60068-5802 | 2005-05-27 |
| 1336671569 | Thomas Schoenhofen | Family Medicine | 205 S Northwest Hwy, Park Ridge, IL 60068-5802 | 2017-03-28 |
| 1144588617 | Presence Ambulatory Services | Clinic/Center | 205 S Northwest Hwy, Suite 120, Park Ridge, IL 60068-5802 | 2012-05-02 |
| 1235495631 | Resurrection Services | Internal Medicine | 205 S Northwest Hwy, Suite 130, Park Ridge, IL 60068-5802 | 2012-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639341662 | United Imaging & Diagnostics | Clinic/Center | 1600 W Dempster St, Suite 206, Park Ridge, IL 60068-1109 | 2008-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831134 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Clinic/Center | 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 | 2020-04-30 |
| 1285255463 | Blessing Corporate Services, Inc | Clinic/Center | 927 Broadway St Ste 132, Quincy, IL 62301-2737 | 2020-04-29 |
| 1518505585 | Akumin Health Illinois, LLC | Clinic/Center | 820 E Terra Cotta Ave Ste 136, Crystal Lake, IL 60014-3650 | 2019-12-20 |
| 1992349724 | Home Diagnostics Plus LLC | Clinic/Center | 2154 W Rosemont Ave Ste 2f, Chicago, IL 60659-3226 | 2019-11-05 |
| 1639731839 | United Providers Inc | Clinic/Center | 9325 S Thomas Ave, Bridgeview, IL 60455-2163 | 2019-07-08 |
| 1861957144 | Rsr Medical | Clinic/Center | 1509 N Western Ave Unit 404, Chicago, IL 60622-1747 | 2019-01-31 |
| 1013429125 | Diagnostic Services LLC | Clinic/Center | 16101 Weber Rd Unit A, Crest Hill, IL 60403-8813 | 2017-10-30 |
| 1285157313 | Midwest Advanced Radiology Center, LLC | Clinic/Center | 11600 S Kedzie Ave Ste G, Merrionette Park, IL 60803-6308 | 2017-07-20 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| 1922456474 | Berwyn Imaging LLC | Clinic/Center | 6728 Cermak Rd, Berwyn, IL 60402-2217 | 2016-05-25 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
Please comment or provide details below to improve the information on PRESENCE AMBULATORY SERVICES.
| 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.