Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PRESENCE HEALTHCARE SERVICES
Active
Organization
PRESENCE HEALTHCARE SERVICES
Active
Other names
Presence Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELVONNE WICKLIFFE-JONES (CREDENTIALING MGR)
(630) 914-2417
Entity
Organization
Contact information
Practice address
5747 WEST DEMPSTER STREET, MORTON GROVE, IL 60053-3056
(708) 324-8700
(847) 324-8705
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
036047645
IL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047645
—
IL
05
—
036048363
—
IL
Enumeration date
12/20/2010
Last updated
04/10/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up