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PROVISO FAMILY SERVICES INC
NPI 1235411703
Nurse Practitioner - Family in Chicago, IL

Active since September 12, 2011
2940 N ASHLAND AVE, CHICAGO, IL 60657(773) 525-4440(773) 525-7771 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Proviso Family Services Inc NPPES

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

PROVISO FAMILY SERVICES INC (NPI 1235411703) is a healthcare organization registered as a family in Chicago, Illinois and active in the NPI registry since September 2011. The organization lists Melvonne Wickliffe-jones, Credentialing Mgr, as its authorized official.

NPPES Registry Identity

NPI1235411703
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePRESENCE PROVISO FAMILY SERVICES INC
Location Address2940 N ASHLAND AVEChicago, IL 60657-4004
Mailing Address1000 Remington Boulevard, Suite 100Bolingbrook, IL 60440-0000 · (630) 914-2417 · Fax (630) 914-2499
Phone(773) 525-4440
Fax(773) 525-7771
Organization SubpartNo
Authorized OfficialMelvonne Wickliffe-jonesCredentialing Mgr · (630) 914-2417
Enumeration DateSeptember 12, 2011
Last NPPES UpdateApril 9, 2013
✔ NPI 1235411703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2940 N ASHLAND AVE, Chicago, IL 60657
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Other Names 1

Doing Business AsProviso Family Services Inc

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 12

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

ANDREW LY
Pharmacist
2940 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 348-4155
JOHN FITZPATRICK
Pharmacist
2940 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 348-4155
FAYEZ AHMED
Pharmacist
2940 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 348-4155
JENNIFER TORRES PHARMD
Pharmacist
2940 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 348-3398
MATTHEW SIENA PHARMD
Pharmacist
2940 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 348-4155
EDISORN PARDUNGKIATTISAK PHARMD
Pharmacist
2940 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 348-4155
NINA PUCCINELLI
Pharmacist
2940 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 348-4155
AMERICAN DRUG STORES LLC
Pharmacy (Community/Retail Pharmacy)
2940 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 348-4155

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 Proviso Family Services Inc's NPI number?

The NPI number for Presence Proviso Family Services Inc is 1235411703. It was assigned to this organization in the NPPES registry on September 12, 2011. The provider is doing business as Proviso Family Services Inc.

Where is Presence Proviso Family Services Inc located?

Presence Proviso Family Services Inc is located at 2940 N Ashland Ave, Chicago, IL 60657. The listed phone number is (773) 525-4440.

What is Presence Proviso Family Services Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Presence Proviso Family Services Inc was last updated on April 9, 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.