Active NPI
Presence Ambulatory Services
- Radiology Clinic/Center
- Skokie, IL
National Provider Identifier
1831435841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- PRESENCE AMBULATORY SERVICES
- Practice address
- 9312 Skokie Blvd
Skokie, IL 60077-1309 - Phone
- (847) 329-7788
- NPI assigned
- Dec 19, 2012
- Organization subpart
- Yes
- Parent organization
- PRESENCE HEALTHCARE SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melvonne Wickliffe-Jones
- Title
- Manager, Credentialing & Provider R
- Phone
- (630) 914-2417
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
9312 Skokie Blvd
Skokie, IL 60077-1309
Mailing address
1000 Remington Blvd
Suite 100
Bolingbrook, IL 60440-5114
Phone (630) 914-2417
Other names 1
- PRESENCE NORTHSHORE PHYSICIANS GROUP ADVANCED IMAGING CENTER
National Provider Directory
National Provider Directory- Part of
- Mehroo Patel MD
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Evanston, IL
- NPI 1932148632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363046400000",
"number": "1831435841",
"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": "604405114",
"telephone_number": "630-914-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9312 SKOKIE BLVD",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771309",
"telephone_number": "847-329-7788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESENCE AMBULATORY SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRESENCE HEALTHCARE SERVICES",
"enumeration_date": "2012-12-19",
"last_updated": "2013-03-12",
"status": "A",
"authorized_official_last_name": "WICKLIFFE-JONES",
"authorized_official_first_name": "MELVONNE",
"authorized_official_title_or_position": "MANAGER, CREDENTIALING & PROVIDER R",
"authorized_official_telephone_number": "630-914-2417"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PRESENCE NORTHSHORE PHYSICIANS GROUP ADVANCED IMAGING CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Skokie, IL
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- Arijana Pranjic, APRN, FNP-BC
- Praxis Counseling Services, PLLC
- Praxis Home Care, LLC
- Presque Isle Orthotics and Prosthetics of Ohio, LLC
- Brandon Lee Pressley-Williams, NP
- Laura June Prestidge, APN
- Lauren Pridgeon
- Clifford Prince, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.