# PRESENCE HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRESENCE HEALTHCARE SERVICES
- **Other names:** AMITA Health Medical Group Clifton
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912574930
- **Legal business name:** PRESENCE HEALTHCARE SERVICES
- **Authorized official:** DIANE BERGER (CREDENTIALING)
- **Authorized official phone:** (224) 273-8908

## Contact information

- **Practice address:** 335 E 6TH AVE, CLIFTON, IL 60927-9087
- **Practice address phone:** (815) 694-2044
- **Mailing address:** 1000 REMINGTON BLVD STE 110, BOLINGBROOK, IL 60440-4708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2021
- **Last updated:** 06/08/2021