PRESENCE AMBULATORY SERVICES; NPI #1851628630

Contact Information

PRESENCE AMBULATORY SERVICES

3101 N HARLEM AVE
CHICAGO, IL 60634-4532

Phone: 773-836-9360
Fax: 773-745-5522
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Magnetic Resonance Imaging (MRI)	261QM1200X
Radiology	261QR0200X	74	Radiation Therapy Center
Radiology, Mammography	261QR0206X

Indicates primary specialty

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NPI Profile & details for PRESENCE AMBULATORY SERVICES

NPI #	`1851628630`
LBN Legal business name	PRESENCE AMBULATORY SERVICES
Authorized official	MELVONNE WICKLIFFE-JONES - (CREDENTIALING MGR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/16/2009
Last updated	05/29/2013 - About 13 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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