Presence Senior Services Chicagoland

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2039876 Issued in IL

Legal business name

PRESENCE SENIOR SERVICES CHICAGOLAND

Practice address

300 N River Rd
Des Plaines, IL 60016-1211

Phone

(847) 297-5900

NPI assigned

Jul 14, 2011

Organization subpart

No

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

Authorized official

Name

Michael Gordon

Title

Cfo

Phone

(708) 478-7911

Specialties & licenses 1

Addresses

Other names 1

• Presence Nazarethville Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Presence Chicago Hospitals Network

  • Psychiatric Hospital Unit
  • Chicago, IL
  • NPI 1194404251

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1932497625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N RIVER RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161211",
            "telephone_number": "847-297-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N RIVER RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161211",
            "telephone_number": "847-297-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 W Ballard Rd",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600164904",
            "country_code": "US",
            "telephone_number": "847-294-2300",
            "fax_number": "847-294-9659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRESENCE SENIOR SERVICES CHICAGOLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2021-09-10",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "708-478-7911"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "2039876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presence Nazarethville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Presence Nazarethville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Presence Healthcare Services
• Presence Holy Family Medical Center
• Presence Home Care
• Presence Lakeshore Gastroenterology, LLC
• Presence Nazarethville
• Robert H Priebe, D.C.
• Primary Care Medical Specialists L.L.C
• Primary Care North, SC
• Prime Healthcare Gi - Lakeshore LLC
• Prime Healthcare Illinois Medical Group LLC

• Skilled Nursing Facility in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.