Organization
PRESENCE HEALTHCARE SERVICES
Active
Other names
Resurrection Services
Organization subpart
No
Provider details
NPI number
Authorized official
REINHOLD LLERENA MD (CEO)
(224) 273-8908
Entity
Organization
Contact information
Practice address
2900 N LAKE SHORE DR, 12TH FLOOR, CHICAGO, IL 60657-5640
(773) 665-4964
(773) 665-5182
Mailing address
1000 REMINGTON BOULEVARD, BOLINGBROOK, IL 60440-0000
(630) 914-2417
(630) 914-2499
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036115036
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115036
—
IL
Enumeration date
11/30/2010
Last updated
06/08/2021
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