| NPI | 1609155472 |
|---|---|
| Doing Business As | PRESENCE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MELVONNE WICKLIFFE-JONES Credentialing Mgr 630-914-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2013-04-09 |