Organization
PRESENCE AMBULATORY SERVICES
Active
Other names
Presence Occupational Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELVONNE WICKLIFFE-JONES (CREDENTIALING MGR)
(630) 914-2417
Entity
Organization
Contact information
Practice address
4900 N CUMBERLAND AVE, NORRIDGE, IL 60706-2916
(708) 456-1600
(708) 463-2781
Mailing address
1000 REMINGTON BLVD, SUITE 100, BOLINGBROOK, IL 60440-0000
(630) 914-2417
(630) 914-2499
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
—
IL
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2009
Last updated
03/20/2013
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