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

Presence Saint Joseph Hospital

Organization Allergy & Immunology Physician · NPI 1124116876

Presence Saint Joseph Hospital is an Allergy & Immunology Physician in Chicago, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
12
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Practice location Address checks out

2900 N Lakeshore Drive 1st Fl Clinic
Chicago, IL 60657-0000
Phone: (773) 665-3080
Fax: (773) 665-3498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Allergy & Immunology Physician Taxonomy 207K00000X
Dermatology Physician Taxonomy 207N00000X
Infectious Disease Physician Taxonomy 207RI0200X
Rheumatology Physician Taxonomy 207RR0500X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Ophthalmology Physician Taxonomy 207W00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Psychiatry Physician Taxonomy 2084P0800X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X

Record details

NPI number1124116876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melvonne Wickliffe-Jones — Credentialing Mgr · (630) 914-2417
Other names Laboure Outpatient
NPI enumeratedOctober 10, 2006
Last updated in NPPESApril 11, 2013
Mailing address1000 Remington Boulevard, Suite 100, Bolingbrook, IL 60440-0000

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