Organization
PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER
Active
Other names
Saints Mary and Elizabeth Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELVONNE WICKLIFFE-JONES (CREDENTIALING MGR)
(630) 914-2417
Entity
Organization
Contact information
Practice address
1431 N WESTERN AVE, SUITE 306, CHICAGO, IL 60622-1797
(312) 332-2226
(773) 276-1197
Mailing address
1000 REMINGTON BOULEVARD, SUITE 100, BOLINGBROOK, IL 60440-0000
(630) 914-2417
(630) 914-2499
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
02/04/2010
Last updated
04/09/2013
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