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PRESENCE MEDICAL GROUP
NPI 1992812838
Internal Medicine in Park Ridge, IL

Active since August 24, 2006
132 S PROSPECT AVE, PARK RIDGE, IL 60068(847) 825-6631(847) 825-8684 Get Directions Write a Review

NPPES record last updated: April 10, 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 1992812838) is a healthcare organization registered as an internal 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

NPI1992812838
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRESENCE HEALTHCARE SERVICES
Location Address132 S PROSPECT AVEPark Ridge, IL 60068-4064
Mailing Address1000 Remington BoulevardBolingbrook, IL 60440-0000 · (630) 914-2417 · Fax (630) 914-2499
Phone(847) 825-6631
Fax(847) 825-8684
Organization SubpartNo
Authorized OfficialMelvonne Wickliffe-jonesCredentialing Mgr · (630) 914-2417
Enumeration DateAugust 24, 2006
Last NPPES UpdateApril 10, 2013
✔ NPI 1992812838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
132 S PROSPECT AVE, Park Ridge, IL 60068
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Other Names 1

Doing Business AsPresence Medical Group

Other Identifiers 8

Medicaid036054785IL
Medicaid036083268IL
Medicare UPINC39831IL
Medicare UPINF71586IL
Medicare ID-Type Unspecified395290IL
Medicare UPINF51439IL
Medicaid036083859IL
Medicare PIN745367

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

KATARZYNA WILAMSKA LCSW
Social Worker (Clinical)
132 S PROSPECT AVE
PARK RIDGE, IL 60068
Cook County (847) 212-4499
LAWRENCE R PANKAU MD
Internal Medicine
132 S PROSPECT AVE
PARK RIDGE, IL 60068
Cook County (847) 825-5463
SONUS-USA, INC.
Audiologist-Hearing Aid Fitter
132 S PROSPECT AVE
PARK RIDGE, IL 60068
Cook County (848) 769-6442
GLORIA DAVIES
Registered Nurse (Lactation Consultant)
132 S PROSPECT AVE
PARK RIDGE, IL 60068
Cook County (224) 592-5252

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 1992812838. 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 132 S Prospect Ave, Park Ridge, IL 60068. The listed phone number is (847) 825-6631.

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 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.