| NPI | 1699078238 |
|---|---|
| Former Legal Business Name | 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 (Licence: IL 036047645) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2013-04-10 |