Organization
PRESENCE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J GORDONG (CEO/PRESIDENT)
(708) 478-7911
Entity
Organization
Contact information
Practice address
2380 E DEMPSTER ST, DES PLAINES, IL 60016-4839
(847) 493-4835
(847) 493-4923
Mailing address
2380 E DEMPSTER ST, DES PLAINES, IL 60016-4839
(847) 493-4835
(847) 493-4923
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5081
BLUE CROSS
—
Enumeration date
09/25/2006
Last updated
12/07/2017
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