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PRESENCE MEDICAL GROUP
NPI 1518074608
Family Medicine in Park Ridge, IL

Active since August 24, 2006
112 S NORTHWEST HWY, PARK RIDGE, IL 60068(847) 696-3370(847) 692-3884 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Presence Medical Group NPPES

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

PRESENCE MEDICAL GROUP (NPI 1518074608) is a healthcare organization registered as a family medicine in Park Ridge, 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

NPI1518074608
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRESENCE HEALTHCARE SERVICES
Location Address112 S NORTHWEST HWYPark Ridge, IL 60068-4260
Mailing Address1000 Remington BoulevardBolingbrook, IL 60440-0000 · (630) 914-2417 · Fax (630) 914-2499
Phone(847) 696-3370
Fax(847) 692-3884
Organization SubpartNo
Authorized OfficialMelvonne Wickliffe-jonesCredentialing Mgr · (630) 914-2417
Enumeration DateAugust 24, 2006
Last NPPES UpdateApril 10, 2013
✔ NPI 1518074608 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.
112 S NORTHWEST HWY, Park Ridge, IL 60068
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Other Names 1

Doing Business AsPresence Medical Group

Other Identifiers 12

Other036108128IL · Medicaid
Medicare UPINE18567IL
Medicaid036087005IL
Medicare UPIND15262IL
Medicaid036080241IL
Medicare PIN745367
Medicare PINK53367IL
Medicaid036121820IL
Medicare UPINE89977IL
Medicaid036119065IL
Medicaid036121594IL
Medicare PINK53364IL

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

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

DAVID S PETERS MD
Family Medicine
112 S NORTHWEST HWY
PARK RIDGE, IL 60068
Cook County (847) 696-3370

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 1518074608. 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 112 S Northwest Hwy, Park Ridge, IL 60068. The listed phone number is (847) 696-3370.

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.