PRESENCE AMBULATORY SERVICES NPI 1932436094

NPI Information

NPI: 1932436094
Provider Name: PRESENCE AMBULATORY SERVICES

Former Legal Business Name: PRESENCE OCCUPATIONAL HEALTH

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
4900 N CUMBERLAND AVE
NORRIDGE, IL
ZIP 60706
Phone: (708) 456-1600
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PRESENCE AMBULATORY SERVICES is an occupational medicine clinic center in Norridge, IL. PRESENCE AMBULATORY SERVICES NPI is 1932436094. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Presence Occupational Health.

The provider's business location address is:

4900 N CUMBERLAND AVE
NORRIDGE, IL
ZIP 60706-916
Phone: (708) 456-1600
Fax: (708) 463-2781

The provider's authorized official is Melvonne Wickliffe-jones .
The authorized official title is Credentialing Mgr and has the following contact phone number (630) 914-2417.

The enumeration date for this NPI number is 11/11/2009 and was last updated on 3/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QX0100X	Clinic/Center	Occupational Medicine		ILLINOIS	No
2	261QX0100X	Clinic/Center	Occupational Medicine			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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