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Organization
PRESENCE HEALTHCARE SERVICES PRESENCE MEDICAL GROUP
Active
Organization
PRESENCE HEALTHCARE SERVICES PRESENCE MEDICAL GROUP
Active
Other names
Resurrection Services
Organization subpart
No
Provider details
NPI number
Authorized official
REINHOLD LLERENA MD (CEO)
(224) 273-8908
Entity
Organization
Contact information
Practice address
4833 N MILWAUKEE AVE, CHICAGO, IL 60630-2145
(773) 205-2857
(708) 205-4380
Mailing address
1000 REMINGTON BOULEVARD, BOLINGBROOK, IL 60440-0000
(630) 914-2417
(630) 914-2499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095449
—
IL
Enumeration date
08/25/2006
Last updated
06/08/2021
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