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PRESENCE MEDICAL GROUP
NPI 1609155472
Internal Medicine in Chicago, IL

Active since August 11, 2011
809 N WESTERN AVE, CHICAGO, IL 60622(773) 772-9121(773) 772-3939 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Presence Medical Group NPPES

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

PRESENCE MEDICAL GROUP (NPI 1609155472) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since August 2011. The organization lists Melvonne Wickliffe-jones, Credentialing Mgr, as its authorized official.

NPPES Registry Identity

NPI1609155472
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRESENCE HEALTHCARE SERVICES
Location Address809 N WESTERN AVEChicago, IL 60622-4637
Mailing Address1000 Remington BoulevardBolingbrook, IL 60440-0000 · (630) 914-2417 · Fax (630) 914-2499
Phone(773) 772-9121
Fax(773) 772-3939
Organization SubpartNo
Authorized OfficialMelvonne Wickliffe-jonesCredentialing Mgr · (630) 914-2417
Enumeration DateAugust 11, 2011
Last NPPES UpdateApril 9, 2013
✔ NPI 1609155472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
809 N WESTERN AVE, Chicago, IL 60622
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Other Names 1

Doing Business AsPresence Medical Group

Other Identifiers 1

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.

BRODECH MEDICAL ASSOCIATES, SC
Internal Medicine
809 N WESTERN AVE
CHICAGO, IL 60622
Cook County (773) 772-9121
VILLAGE DOCTOR, LTD
Clinic/Center (Primary Care)
809 N WESTERN AVE
CHICAGO, IL 60622
Cook County (773) 276-8600

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 1609155472. It was assigned to this organization in the NPPES registry on August 11, 2011. The provider is doing business as Presence Medical Group.

Where is Presence Healthcare Services located?

Presence Healthcare Services is located at 809 N Western Ave, Chicago, IL 60622. The listed phone number is (773) 772-9121.

What is Presence Healthcare Services's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Presence Healthcare Services 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.