Organization
PRESENCE AMBULATORY SERVICES
Active
Organization
PRESENCE AMBULATORY SERVICES
Active
Other names
Presence Immediate Care - Elmwood Park
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELVONNE WICKLIFFE-JONES (CREDENTIALING MGR)
(630) 914-2417
Entity
Organization
Contact information
Practice address
7230 W NORTH AVE, SUITE 106B, ELMWOOD PARK, IL 60707-4261
(708) 453-3000
(708) 453-4460
Mailing address
1000 REMINGTON BLVD, SUITE 100, BOLINGBROOK, IL 60440-0000
(630) 914-2417
(630) 914-2499
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2009
Last updated
05/29/2013
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