Organization
PRESENCE AMBULATORY SERVICE
Active
Other names
PRESENCE REHAB CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MELVONNE JONES (MGR, CREDENTIALING)
(630) 914-2417
Entity
Organization
Contact information
Practice address
1625 SHERIDAN RD, SUITE 1A, WILMETTE, IL 60091-1824
(847) 256-2890
(847) 256-2802
Mailing address
1000 REMINGTON BLVD, SUITE 100, BOLINGBROOK, IL 60440-5114
(630) 914-2417
(630) 914-2499
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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