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Contact Information

PRESENCE HEALTHCARE SERVICES
2800 N SHERIDAN RD
SUITE 309
CHICAGO, IL60657-6156
 Phone: 773-871-4183
 Fax: 773-883-1202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207RA0201X 11 Physician/Internal Medicine
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
Indicates primary specialty

NPI Profile & details for PRESENCE HEALTHCARE SERVICES · (Female)

NPI Number 1790078053
Status Active
Credentials
Entity Individual
Enumeration date 05/19/2011
Last updated 04/10/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036043445
  • IL Medicaid 036043445
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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