| Presence Ambulatory Services | |
|
4900 N Cumberland Ave Norridge IL 60706-2916 | |
| (708) 456-1600 | |
| (708) 463-2781 |
| Full Name | Presence Ambulatory Services |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4900 N Cumberland Ave, Norridge, Illinois |
| Authorized Official Name and Position | Melvonne Wickliffe-jones (CREDENTIALING MGR) |
| Authorized Official Contact | 6309142417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Presence Ambulatory Services 1000 Remington Blvd Suite 100 Bolingbrook IL 60440-0000 Ph: (630) 914-2417 | Presence Ambulatory Services 4900 N Cumberland Ave Norridge IL 60706-2916 Ph: (708) 456-1600 |
| NPI Number | 1114253812 |
|---|---|
| Provider Enumeration Date | 10/30/2009 |
| Last Update Date | 05/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114253812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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