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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: August 02, 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

Other Providers at the Same Location NPPES 2

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

JOSEPH A SANCHEZ MD
Family Medicine
6974 N CLARK ST
CHICAGO, IL 60626
Cook County (773) 743-6300
PRESENCE HEALTHCARE SERVICES
Family Medicine
6974 N CLARK ST, SUITE 1
CHICAGO, IL 60626
Cook County (773) 539-1331

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.

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.