| NPI | 1174630040 |
|---|---|
| Doing Business As | PRESENCE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MELVONNE WICKLIFFE-JONES Credentialing Mgr 630-914-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2013-04-10 |