Active NPI
Presence Health Partners, LLC
- General Practice Physician
- Des Plaines, IL
National Provider Identifier
1932504081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PRESENCE HEALTH PARTNERS, LLC
- Practice address
- 2380 E Dempster St
3Rd Floor
Des Plaines, IL 60016-4839 - Phone
- (312) 308-3275
- NPI assigned
- Oct 31, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Antonio Joseph Fricano
- Title
- Associate General Counsel
- Phone
- (312) 308-3275
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2380 E Dempster St
3Rd Floor
Des Plaines, IL 60016-4839
Mailing address
2380 E Dempster St
3Rd Floor
Des Plaines, IL 60016-4839
National Provider Directory
National Provider DirectoryLocations
2380 E Dempster St
Fl 3
Des Plaines, IL 60016
Phone (312) 308-3275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414713600000",
"number": "1932504081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2380 E DEMPSTER ST",
"address_2": "3RD FLOOR",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2380 E DEMPSTER ST",
"address_2": "3RD FLOOR",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164839",
"telephone_number": "312-308-3275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESENCE HEALTH PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-31",
"last_updated": "2014-10-31",
"status": "A",
"authorized_official_last_name": "FRICANO",
"authorized_official_first_name": "ANTONIO",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "ASSOCIATE GENERAL COUNSEL",
"authorized_official_telephone_number": "312-308-3275"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.