Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Presence Healthcare Services

Organization Family Medicine Physician · NPI 1609155472

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

Licensed in
IL
In the registry since
2011
Specialties on file
3

Practice location Address checks out

809 N Western Ave
Chicago, IL 60622-4637
Phone: (773) 772-9121
Fax: (773) 772-3939
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X (IL)

Record details

NPI number1609155472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melvonne Wickliffe-Jones — Credentialing Mgr · (630) 914-2417
Other names Presence Medical Group
NPI enumeratedAugust 11, 2011
Last updated in NPPESApril 9, 2013
Mailing address1000 Remington Boulevard, Bolingbrook, IL 60440-0000

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