Presence Ambulatory Services

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PRESENCE AMBULATORY SERVICES

Practice address

150 N River Rd
Des Plaines, IL 60016-1272

Phone

(847) 813-3510

Fax

(847) 297-7512

NPI assigned

Nov 16, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Melvonne Wickliffe-Jones

Title

Credentialing MGR

Phone

(630) 914-2417

Specialties & licenses 1

Addresses

Other names 1

• Presence Immediate Care Center - Des Plaines Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1124355904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON BLVD",
            "address_2": "SUITE 100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604400000",
            "telephone_number": "630-914-2417",
            "fax_number": "630-914-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-813-3510",
            "fax_number": "847-297-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE AMBULATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "WICKLIFFE-JONES",
        "authorized_official_first_name": "MELVONNE",
        "authorized_official_title_or_position": "CREDENTIALING MGR",
        "authorized_official_telephone_number": "630-914-2417",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presence Immediate Care Center - Des Plaines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premier Healthcare Services LLC
• Premier Healthcare Services LLC
• Premier Optimal Health LLC
• Premier Radiology Institute I, LLC
• Brittany Prero, PT, DPT
• Presence Ambulatory Services
• Presence Chicago Hospitals Network
• Presence Health Partners, LLC
• Presence Healthcare Services
• Presence Holy Family Medical Center

• Multi-Specialty Clinic/Center in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.