PRESENCE HEALTHCARE SERVICES (NPI# 1376832097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376832097 |
| Entity Type | Organization |
| Organization Name | PRESENCE HEALTHCARE SERVICES |
| Other Organization Name | RESURRECTION SERVICES |
| Practice Address |
7447 W Talcott Ave Suite 245 Chicago IL 60631-3745 |
| Mailing Address |
1000 Remington Boulevard Bolingbrook IL 60440-0000 |
| Practice Telephone | 7737747474 |
| Practice Fax Number | 7737744273 |
| Mailing Telephone | 6309142417 |
| Mailing Fax Number | 6309142499 |
| Enumeration Date | 2011-04-04 |
| 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 |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036121594 | IL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036121594 | 05 |
| Other Name | Type Code |
|---|---|
| Resurrection Services | Former Legal Business 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 |
7447 W TALCOTT AVE SUITE 245 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960145 | Paul J Toussaint | Pediatrics | 7447 W Talcott Ave, Ste 467, Chicago, IL 60631-3715 | 2005-05-27 |
| 1194344721 | Alvin Au-yeung | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Chicago, IL 60631-3745 | 2020-04-14 |
| 1639680267 | Jeffrey Moorhead | Physical Therapist | 7447 W Talcott Ave, Ste 500, Chicago, IL 60631-3716 | 2017-10-23 |
| 1770019796 | Brayton Kiedrowski | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Chicago, IL 60631-3745 | 2017-05-11 |
| 1750818555 | Amber Ijaz | Family Medicine | 7447 W Talcott Ave, Resurrection Family Medicine, Ste. 182, Chicago, IL 60631-3745 | 2017-05-11 |
| 1548796683 | Jordan Oneill | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Resurrection Family Medicine Suite 182, Chicago, IL 60631-3745 | 2017-05-10 |
| 1588190821 | Asha Anne | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Resurrection Family Medicine Ste. 182, Chicago, IL 60631-3745 | 2017-05-05 |
| 1033644992 | Caryn Rachel Olshansky | Physician Assistant | 7447 W Talcott Ave, Suite 425, Chicago, IL 60631-3745 | 2017-04-27 |
| 1982139945 | Sabina Antonina Gal | Counselor | 7447 W Talcott Ave, Suite 448, Chicago, IL 60631-3745 | 2017-04-27 |
| 1538512934 | Aneta Zima | Nurse Practitioner | 7447 W Talcott Ave, Suite 248, Chicago, IL 60631-3745 | 2016-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| Find all providers in zip 60631 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| 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.