Presence Proviso Family Services Inc
Presence Proviso Family Services Inc provides Family Nurse Practitioner services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2940 N Ashland AveChicago, IL 60657-4004 Not confirmed with CMS for 13 years — call before visiting
Phone: (773) 525-4440
Fax: (773) 525-7771
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X (IL) |
|---|
Record details
| NPI number | 1235411703 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melvonne Wickliffe-Jones — Credentialing Mgr · (630) 914-2417 |
| Other names | Proviso Family Services Inc |
| NPI enumerated | September 12, 2011 |
| Last updated in NPPES | April 9, 2013 |
| Mailing address | 1000 Remington Boulevard, Suite 100, Bolingbrook, IL 60440-0000 |
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