| Presence Medical Group | |
|
701 Biesterfield Rd Unit 4d Elk Grove Village IL 60007-3309 | |
| (833) 291-0464 | |
| Not Available |
| Full Name | Presence Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 Biesterfield Rd Unit 4d, Elk Grove Village, Illinois |
| Authorized Official Name and Position | Reinhold Llerena (PRESIDENT) |
| Authorized Official Contact | 8332910464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Presence Medical Group 701 Biesterfield Rd Unit 4d Elk Grove Village IL 60007-3309 Ph: (833) 291-0464 | Presence Medical Group 701 Biesterfield Rd Unit 4d Elk Grove Village IL 60007-3309 Ph: (833) 291-0464 |
| NPI Number | 1356727127 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 11/24/2025 |
| Certification Date | 11/24/2025 |
| Medicare PECOS PAC ID | 2860396769 |
|---|---|
| Medicare Enrollment ID | O20150810001673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356727127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
| Provider Name | John K Song |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922099084 PECOS PAC ID: 5395779631 Enrollment ID: I20050926000530 |
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