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Organization
PRESENCE HEALTHCARE SERVICES
Active
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
3046 N ASHLAND AVE, CHICAGO, IL 60657-3034
(773) 528-5851
(773) 528-9790
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
04/09/2013
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