Organization
PRESENCE HEALTHCARE SERVICES
Active
Other names
Presence Medical Group - RHC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELVONNE WICKLIFFE-JONES (CREDENTIALING MGR)
(630) 914-2417
Entity
Organization
Contact information
Practice address
5308 NORTH BELMONT AVENUE, CHICAGO, IL 60641-0000
(773) 427-8114
(773) 472-8116
Mailing address
1000 REMINGTON BOULEVARD, BOLINGBROOK, IL 60440-0000
(630) 914-2417
(630) 914-2499
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
036121746
IL
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121746
—
IL
05
—
036126439
—
IL
01
—
147001095
AUDIOLOGY LICENSE
IL
Enumeration date
05/27/2010
Last updated
05/29/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us