# PRESENCE AMBULATORY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Resurrection Open MRI & Imaging Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851628630
- **Authorized official:** MRS. MELVONNE WICKLIFFE-JONES (CREDENTIALING MGR)
- **Authorized official phone:** (630) 914-2417

## Contact information

- **Practice address:** 3101 N HARLEM AVE, CHICAGO, IL 60634-4532
- **Practice address phone:** (773) 836-9360
- **Practice address fax:** (773) 745-5522
- **Mailing address:** 1000 REMINGTON BLVD, SUITE 100, BOLINGBROOK, IL 60440-0000
- **Mailing address phone:** (630) 914-2417
- **Mailing address fax:** (630) 914-2499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QR0206X | Mammography Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/16/2009
- **Last updated:** 05/29/2013