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PRESENCE MEDICAL GROUP
NPI 1891073367
Family Medicine in Chicago, IL

Active since August 01, 2011
3002 N ASHLAND AVE, CHICAGO, IL 60657(773) 224-0441(773) 224-0906 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 1891073367) is a healthcare organization registered as a family 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

NPI1891073367
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRESENCE HEALTHCARE SERVICES
Location Address3002 N ASHLAND AVEChicago, IL 60657-3012
Mailing Address1000 Remington BoulevardBolingbrook, IL 60440-0000 · (630) 914-2417 · Fax (630) 914-2499
Phone(773) 224-0441
Fax(773) 224-0906
Organization SubpartNo
Authorized OfficialMelvonne Wickliffe-jonesCredentialing Mgr · (630) 914-2417
Enumeration DateAugust 1, 2011
Last NPPES UpdateApril 10, 2013
✔ NPI 1891073367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036052112
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.
3002 N ASHLAND AVE, Chicago, IL 60657
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Other Names 1

Doing Business AsPresence Medical Group

Other Identifiers 2

Medicare PIN745367
Medicaid036052112IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

EXCEL RENAL CARE SERVICES LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3002 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 296-3003
FAMILY PHYSICIANS OF LAKEVIEW
Preferred Provider Organization
3002 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 244-0441
EXCEL KIDNEY CARE LLC
Internal Medicine (Nephrology)
3002 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 296-3003
DR. MOHAMMED A MUBEEN M.D.,
Hospitalist
3002 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 296-3003
DR. SARA BRAUNSTEIN D.O.
Family Medicine
3002 N ASHLAND AVE
CHICAGO, IL 60657
Cook County (773) 244-0441

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 1891073367. It was assigned to this organization in the NPPES registry on August 1, 2011. The provider is doing business as Presence Medical Group.

Where is Presence Healthcare Services located?

Presence Healthcare Services is located at 3002 N Ashland Ave, Chicago, IL 60657. The listed phone number is (773) 224-0441.

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.