# PRESENCE AMBULATORY SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRESENCE REHAB CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336580026
- **Authorized official:** MELVONNE JONES (MGR, CREDENTIALING)
- **Authorized official phone:** (630) 914-2417

## Contact information

- **Practice address:** 1625 SHERIDAN RD, SUITE 1A, WILMETTE, IL 60091-1824
- **Practice address phone:** (847) 256-2890
- **Practice address fax:** (847) 256-2802
- **Mailing address:** 1000 REMINGTON BLVD, SUITE 100, BOLINGBROOK, IL 60440-5114
- **Mailing address phone:** (630) 914-2417
- **Mailing address fax:** (630) 914-2499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2013
- **Last updated:** 07/10/2013