# PRESENCE AMBULATORY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Presence Occupational Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932436094
- **Authorized official:** MRS. MELVONNE WICKLIFFE-JONES (CREDENTIALING MGR)
- **Authorized official phone:** (630) 914-2417

## Contact information

- **Practice address:** 4900 N CUMBERLAND AVE, NORRIDGE, IL 60706-2916
- **Practice address phone:** (708) 456-1600
- **Practice address fax:** (708) 463-2781
- **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 |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | IL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/11/2009
- **Last updated:** 03/20/2013