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Organization

PRESENCE HEALTHCARE SERVICES

Active
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Organization

PRESENCE HEALTHCARE SERVICES

Active
Other names
Resurrection Services
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELVONNE WICKLIFFE-JONES (CREDENTIALING MGR)
(630) 914-2417
Entity
Organization

Contact information

Practice address
7447 W TALCOTT AVE, SUITE 551, CHICAGO, IL 60631-3745
(773) 467-9977
(773) 467-9979
Mailing address
1000 REMINGTON BOULEVARD, BOLINGBROOK, IL 60440-0000
(630) 914-2417
(630) 914-2499

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
09/30/2011
Last updated
04/10/2013
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