Organization Active NPI

Presence Health Partners, LLC

  • General Practice Physician
  • Des Plaines, IL
National Provider Identifier
1932504081
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Oct 31, 2014

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.