NPI | 1205110855 |
---|---|
Doing Business As | PRESENCE MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | REINHOLD LLERENA CEO 224-273-8908 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2011-09-30 |
Last Update Date | 2021-06-08 |