PRESENCE PROVISO FAMILY SERVICES INC is a family nurse practitioner in Chicago, IL. PRESENCE PROVISO FAMILY SERVICES INC NPI is 1235411703. The provider is registered as an organization entity type and is a multi-specialty group. The provider Is Doing Business As Proviso Family Services Inc.
The provider's business location address is:
2940 N ASHLAND AVE CHICAGO, IL ZIP 60657-004 Phone: (773) 525-4440 Fax: (773) 525-7771
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 9/12/2011 and was last updated on 4/9/2013.
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:
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: 3/30/2025
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