Organization
PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELVONNE WICKLIFFE-JONES (CREDENTIALING MGR)
(630) 914-2417
Entity
Organization
Contact information
Practice address
2233 WEST DIVISION ST, CHICAGO, IL 60622-3043
(312) 770-2050
(630) 914-2499
Mailing address
1000 REMINGTON BOULEVARD, SUITE 100, BOLINGBROOK, IL 60440-0000
(630) 914-2417
(630) 914-2499
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
03/20/2013
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