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

Presence Saint Joseph Hospital

Organization Family Medicine Physician · NPI 1366537953

Presence Saint Joseph Hospital is a Family Medicine Physician in Chicago, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

711 W North Ave
Chicago, IL 60610-0000
Phone: (312) 337-1982
Fax: (312) 642-3847
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1366537953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melvonne Wickliffe-Jones — Credentialing Mgr · (630) 914-2417
Other names Saint Joseph Hospital
NPI enumeratedOctober 3, 2006
Last updated in NPPESApril 9, 2013
Mailing address1000 Remington Boulevard, Bolingbrook, IL 60440-0000

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