Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Presence Healthcare Services

Organization Family Medicine Physician · NPI 1528359924

Presence Healthcare Services provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
Specialties on file
2

Practice location Address checks out

1431 N Western Ave Ste 502
Chicago, IL 60622-1797 Not confirmed with CMS for 13 years — call before visiting
Phone: (773) 278-2600
Fax: (773) 278-2424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Family Medicine Physician Taxonomy 207Q00000X (IL)

Record details

NPI number1528359924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melvonne Wickliffe-Jones — Credentialing Mgr · (630) 914-2417
Other names Presence Medical Group
NPI enumeratedApril 20, 2011
Last updated in NPPESApril 10, 2013
Mailing address1000 Remington Boulevard, Bolingbrook, IL 60440-0000

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