| NPI | 1144588617 |
|---|---|
| Doing Business As | PRESENCE IMMEDIATE CARE - PARK RIDGE |
| Entity Type | Organization |
| Authorized Contact | MELVONNE WICKLIFFE-JONES Credentialing Mgr 630-914-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2013-03-20 |