PRESENCE HEALTHCARE SERVICES
NPI 1790078053
Internal Medicine - Allergy & Immunology in Chicago, IL
- Organization
- Internal Medicine
- Allergy & Immunology
About PRESENCE HEALTHCARE SERVICES
This page provides the complete NPI Profile along with additional information for Presence Healthcare Services, an internist established in Chicago, Illinois operating as a Internal Medicine, focusing in allergy & immunology . The healthcare provider is registered in the NPI registry with number 1790078053 assigned on May 2011. The practitioner's primary taxonomy code is 207RA0201X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Presence Healthcare Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Resurrection Services. The authorized official of this NPI record is Mrs. Melvonne Wickliffe-jones (Credentialing Mgr)
- NPI
- 1790078053 Verify this NPI
- Provider Legal Name
- PRESENCE HEALTHCARE SERVICES
- Other Organization Name
- RESURRECTION SERVICES
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 2800 N SHERIDAN RD SUITE 309 CHICAGO, IL 60657
- Location Phone
- (773) 871-4183
- Location Fax
- (773) 883-1202
- Mailing Address
- 1000 REMINGTON BOULEVARD BOLINGBROOK, IL 60440
- Mailing Phone
- (630) 914-2417
- Mailing Fax
- (630) 914-2499
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-19-2011
- Last Update Date
- 04-10-2013
- Code Navigator
An internist like Presence Healthcare Services is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Allergy & Immunology
- Taxonomy Code
- 207RA0201X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207K00000X | Allopathic & Osteopathic Physicians | Allergy & Immunology | 036043445 (IL) |
| 2 | 207RA0201X | Allopathic & Osteopathic Physicians | Internal Medicine | 036043445 (IL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036043445 | MEDICAID (05) | IL | |
| 745367 | MEDICARE PIN (08) |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHICAGO, IL 60657
CHICAGO, IL 60657
CHICAGO, IL 60657
CHICAGO, IL 60657
CHICAGO, IL 60657
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790078053, enumerated as an "organization" on May 19, 2011.
The provider is located at 2800 N SHERIDAN RD SUITE 309 CHICAGO, IL 60657 and the phone number is (773) 871-4183.
Internal Medicine with taxonomy code 207RA0201X and a focus in Allergy & Immunology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
