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PRESENCE MEDICAL GROUP
NPI 1174630040
Family Medicine in Chicago, IL

Active since August 24, 2006
6974 N CLARK ST, CHICAGO, IL 60626(773) 743-6300(773) 743-2618 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Presence Medical Group NPPES

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

PRESENCE MEDICAL GROUP (NPI 1174630040) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since August 2006. The organization lists Melvonne Wickliffe-jones, Credentialing Mgr, as its authorized official.

NPPES Registry Identity

NPI1174630040
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRESENCE HEALTHCARE SERVICES
Location Address6974 N CLARK STChicago, IL 60626-3221
Mailing Address1000 Remington BoulevardBolingbrook, IL 60440-0000 · (630) 914-2417 · Fax (630) 914-2499
Phone(773) 743-6300
Fax(773) 743-2618
Organization SubpartNo
Authorized OfficialMelvonne Wickliffe-jonesCredentialing Mgr · (630) 914-2417
Enumeration DateAugust 24, 2006
Last NPPES UpdateApril 10, 2013
✔ NPI 1174630040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6974 N CLARK ST, Chicago, IL 60626
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Other Names 1

Doing Business AsPresence Medical Group

Other Identifiers 7

Medicare UPINF14742IL
Medicaid036107071IL
Medicare ID-Type Unspecified206557IL
Medicare ID-Type Unspecified036096295IL
Medicare UPINH64908IL
Medicaid036079737IL
Medicare PIN745367

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Presence Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

126

Medicare enrollment records show 126 clinicians reassign Medicare billing to Presence Medical Group, which bills Medicare for the services they deliver. Of these, 57 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Neurology31
Family Practice19
Internal Medicine16
Psychiatry13
Nurse Practitioner11
Obstetrics/Gynecology7
Cardiovascular Disease (Cardiology)6
Pediatric Medicine5
11 other specialties18

Nearest to this location (20)

See all 126
Ahmad Bastani, MD
Family Practice
NPI 1972564524
6033 N SHERIDAN RD SUITE S 8
Chicago, IL 60660
(773) 506-9600
✔ PECOS✔ Accepts Medicare1.5 mi
Kathya Chartre, M.D.
Family Practice
NPI 1174831168
4025 N SHERIDAN RD
Chicago, IL 60613
(773) 388-1600
✔ PECOS✔ Accepts Medicare3.8 mi
Lisa Greising, M.D.
Internal Medicine
NPI 1578523155
2913 N COMMONWEALTH AVE FL 5
Chicago, IL 60657
(773) 883-2800
✔ PECOS✔ Accepts Medicare5.4 mi
Maria Silveira Galban, MD
Pediatric Medicine
NPI 1821287657
2913 N COMMONWEALTH AVE FL 5
Chicago, IL 60657
(773) 665-3080
✔ PECOS5.4 mi
Shreyashi Khanal
Internal Medicine
NPI 1104508605
2913 N COMMONWEALTH AVE
Chicago, IL 60657
(773) 883-2800
✔ PECOS5.4 mi
Stewart Bishop, APRN
Nurse Practitioner
NPI 1639698244
2900 N LAKE SHORE DR
Chicago, IL 60657
(773) 665-3370
✔ PECOS✔ Accepts Medicare5.4 mi
Luciana Ribeiro, M.D.; PH.D.
Addiction Medicine
NPI 1437481355
2900 N LAKE SHORE DR
Chicago, IL 60657
(773) 665-3371
✔ PECOS✔ Accepts Medicare5.4 mi
James Sullivan, MD
Infectious Disease
NPI 1346236379
2900 N LAKE SHORE DR SUITE 1231
Chicago, IL 60657
(773) 665-3261
✔ PECOS✔ Accepts Medicare5.4 mi
Patricia Boatwright, M.D.,
Obstetrics/Gynecology
NPI 1437228186
331 W SURF ST STE 711
Chicago, IL 60657
(312) 738-0055
✔ PECOS✔ Accepts Medicare5.4 mi
Andrew Russeau, MD
Vascular Surgery
NPI 1043637150
331 W SURF ST STE 904
Chicago, IL 60657
(337) 237-9610
✔ PECOS✔ Accepts Medicare5.4 mi
Bipan Chand, MD
General Surgery
NPI 1891758777
2845 N SHERIDAN RD STE 714
Chicago, IL 60657
(773) 472-3427
✔ PECOS✔ Accepts Medicare5.5 mi
Ryan Cook, DO
Family Practice
NPI 1962068965
2845 N SHERIDAN RD STE 801
Chicago, IL 60657
(773) 665-6851
✔ PECOS✔ Accepts Medicare5.5 mi
Andrew Pavlatos, MD
Family Practice
NPI 1679576201
2845 N SHERIDAN RD STE 801
Chicago, IL 60657
(773) 665-6851
✔ PECOS✔ Accepts Medicare5.5 mi
William Sanders, MD
Pulmonary Disease
NPI 1164426599
2845 N SHERIDAN RD STE 710
Chicago, IL 60657
(773) 935-5556
✔ PECOS✔ Accepts Medicare5.5 mi
Richard Zhu, M.D.
General Surgery
NPI 1104093202
2845 N SHERIDAN RD STE 714
Chicago, IL 60657
(773) 472-3427
✔ PECOS✔ Accepts Medicare5.5 mi
Faisal Qureshi, MD
Endocrinology
NPI 1336130483
2800 N SHERIDAN RD STE 309
Chicago, IL 60657
(773) 248-6913
✔ PECOS✔ Accepts Medicare5.5 mi
Jonathan Vogel, M.D.
Neurology
NPI 1104007533
2800 N SHERIDAN RD STE 600
Chicago, IL 60657
(312) 263-2828
✔ PECOS✔ Accepts Medicare5.5 mi
Vanessa Archil, M.D.
Obstetrics/Gynecology
NPI 1285046888
6121 N ELSTON AVE
Chicago, IL 60646
(773) 792-0209
✔ PECOS✔ Accepts Medicare5.7 mi
Haran Rajeswaran, MD
Diagnostic Radiology
NPI 1790208205
7435 W TALCOTT AVE
Chicago, IL 60631
(773) 774-8000
✔ PECOS✔ Accepts Medicare7.4 mi
Laura Briz, M.D.
Psychiatry
NPI 1821443839
150 E HURON ST
Chicago, IL 60611
(773) 572-8383
✔ PECOS8.2 mi
See all 126 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Healthcare Services's NPI number?

The NPI number for Presence Healthcare Services is 1174630040. It was assigned to this organization in the NPPES registry on August 24, 2006. The provider is doing business as Presence Medical Group.

Where is Presence Healthcare Services located?

Presence Healthcare Services is located at 6974 N Clark St, Chicago, IL 60626. The listed phone number is (773) 743-6300.

What is Presence Healthcare Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Presence Healthcare Services enrolled in Medicare?

Yes. Presence Healthcare Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Presence Healthcare Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 126 clinicians in 19 Medicare specialties reassign their Medicare billing to Presence Healthcare Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Neurology (31), Family Practice (19) and Internal Medicine (16). Of these, 57 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Presence Healthcare Services was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.