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Organization

PRESENCE SENIOR SERVICES CHICAGOLAND

Active
Other names
Ascension Living Resurrection Place
Organization subpart
No

Provider details

NPI number
Authorized official
KELLIE GRONEFELD (COO)
(314) 729-3500
Entity
Organization

Contact information

Practice address
1001 N GREENWOOD AVE, PARK RIDGE, IL 60068-2054
(847) 692-5600
(847) 692-2305
Mailing address
18927 HICKORY CREEK DR, SUITE #300, MOKENA, IL 60448-8590
(708) 478-6382
(708) 478-6387

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0044362
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5411
BLUE CROSS
Enumeration date
09/01/2005
Last updated
01/16/2025
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