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PRESENCE ADVANCED IMAGING CENTER
NPI 1164780144
Clinic/Center - Radiology in Park Ridge, IL

Active since April 27, 2012
205 S NORTHWEST HWY, SUITE 120, PARK RIDGE, IL 60068(847) 292-5200(847) 292-5239 Get Directions Write a Review

NPPES record last updated: May 29, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Presence Advanced Imaging Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESENCE ADVANCED IMAGING CENTER (NPI 1164780144) is a healthcare organization registered as a radiology in Park Ridge, Illinois and active in the NPI registry since April 2012. The organization lists Melvonne Wickliffe-jones, Credentialing Mgr, as its authorized official.

NPPES Registry Identity

NPI1164780144
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NamePRESENCE AMBULATORY SERVICES
Location Address205 S NORTHWEST HWY, SUITE 120Park Ridge, IL 60068-5802
Mailing Address1000 Remington Blvd, Suite 100Bolingbrook, IL 60440-0000 · (630) 914-2417 · Fax (630) 914-2499
Phone(847) 292-5200
Fax(847) 292-5239
Organization SubpartNo
Authorized OfficialMelvonne Wickliffe-jonesCredentialing Mgr · (630) 914-2417
Enumeration DateApril 27, 2012
Last NPPES UpdateMay 29, 2013
✔ NPI 1164780144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
205 S NORTHWEST HWY, Park Ridge, IL 60068
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Other Names 1

Doing Business AsPresence Advanced Imaging Center

Other Identifiers 2

Medicare PINIL2940IL
Medicare PIN745367

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VOULA ASIMACOPOULOS MD
Internal Medicine
205 S NORTHWEST HWY
PARK RIDGE, IL 60068
Cook County (847) 292-5200
PRESENCE AMBULATORY SERVICES
Clinic/Center (Urgent Care)
205 S NORTHWEST HWY, SUITE 120
PARK RIDGE, IL 60068
Cook County (847) 292-5200
RESURRECTION SERVICES
Family Medicine
205 S NORTHWEST HWY, SUITE 130
PARK RIDGE, IL 60068
Cook County (847) 292-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Presence Ambulatory Services's NPI number?

The NPI number for Presence Ambulatory Services is 1164780144. It was assigned to this organization in the NPPES registry on April 27, 2012. The provider is doing business as Presence Advanced Imaging Center.

Where is Presence Ambulatory Services located?

Presence Ambulatory Services is located at 205 S Northwest Hwy Suite 120, Park Ridge, IL 60068. The listed phone number is (847) 292-5200.

What is Presence Ambulatory Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

What insurance does Presence Ambulatory Services accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Presence Ambulatory Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Presence Ambulatory Services was last updated on May 29, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.