| NPI | 1235495631 |
|---|---|
| Doing Business As | PRESENCE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DANIEL MCCORMICK Senior Vice President 708-583-6817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036080241) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036054785) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-17 |