PRESENCE AMBULATORY SERVICES (NPI# 1114253812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114253812 |
| Entity Type | Organization |
| Organization Name | PRESENCE AMBULATORY SERVICES |
| Other Organization Name | PRESENCE IMMEDIATE CARE CENTER - NORRIDGE |
| Practice Address |
4900 N Cumberland Ave Norridge IL 60706-2916 |
| Mailing Address |
1000 Remington Blvd Suite 100 Bolingbrook IL 60440-0000 |
| Practice Telephone | 7084561600 |
| Practice Fax Number | 7084632781 |
| Mailing Telephone | 6309142417 |
| Mailing Fax Number | 6309142499 |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2013-05-29 |
| Authorized Official Name | MRS. MELVONNE WICKLIFFE-JONES (CREDENTIALING MGR) |
| Authorized Official Telephone | 6309142417 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Presence Immediate Care Center - Norridge | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962945055 | Presence Ambulatory Services | Clinic/Center | 500 S Weber Rd, Romeoville, IL 60446-6528 | 2016-11-22 |
| 1831435841 | Presence Ambulatory Services | Clinic/Center | 9312 Skokie Blvd, Skokie, IL 60077-1309 | 2012-12-19 |
| 1144588617 | Presence Ambulatory Services | Clinic/Center | 205 S Northwest Hwy, Suite 120, Park Ridge, IL 60068-5802 | 2012-05-02 |
| 1164780144 | Presence Ambulatory Services | Clinic/Center | 205 S Northwest Hwy, Suite 120, Park Ridge, IL 60068-5802 | 2012-04-27 |
| 1780913368 | Presence Ambulatory Services | Clinic/Center | 150 N River Rd, Des Plaines, IL 60016-1272 | 2009-12-10 |
| 1124355904 | Presence Ambulatory Services | Clinic/Center | 150 N River Rd, Des Plaines, IL 60016-1272 | 2009-11-16 |
| 1851628630 | Presence Ambulatory Services | Clinic/Center | 3101 N Harlem Ave, Chicago, IL 60634-4532 | 2009-11-16 |
| 1447587225 | Presence Ambulatory Services | Clinic/Center | 7230 W North Ave, Suite 106b, Elmwood Park, IL 60707-4261 | 2009-11-16 |
| 1932436094 | Presence Ambulatory Services | Clinic/Center | 4900 N Cumberland Ave, Norridge, IL 60706-2916 | 2009-11-11 |
| 1407182108 | Presence Ambulatory Services | Clinic/Center | 7230 W North Ave, Suite 106b, Elmwood Park, IL 60707-4261 | 2009-10-30 |
| Street Address |
4900 N CUMBERLAND AVE |
| City | NORRIDGE |
| State | IL |
| Zip Code | 60706-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134188287 | Farid Saheb | Internal Medicine | 4900 N Cumberland Ave, Norridge, IL 60706-2916 | 2006-03-18 |
| 1093167322 | Ruby Kaur Grover | Physician Assistant | 4900 N Cumberland Ave, Norridge, IL 60706 | 2016-07-11 |
| 1013398379 | Amy Swanholm | Nurse Practitioner | 4900 N Cumberland Ave, Norridge, IL 60706-2901 | 2015-06-12 |
| 1417217415 | Jehu Strange | Family Medicine | 4900 N Cumberland Ave, Norridge, IL 60706 | 2012-05-23 |
| 1083926661 | Resurrection Services | Clinic/Center | 4900 N Cumberland Ave, Suite 200, Norridge, IL 60706-2916 | 2010-07-12 |
| 1932436094 | Presence Ambulatory Services | Clinic/Center | 4900 N Cumberland Ave, Norridge, IL 60706-2916 | 2009-11-11 |
| 1427205400 | Dena Zahir Hamad | Family Medicine | 4900 N Cumberland Ave, Norridge, IL 60706-2916 | 2008-08-21 |
| 1174788129 | Syeda Nishaat Zahedi | Family Medicine | 4900 N Cumberland Ave, Norridge, IL 60706-2916 | 2008-07-18 |
| 1871674267 | Helena Podgorska | Family Medicine | 4900 N Cumberland Ave, Norridge, IL 60706-2916 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710533724 | Michael J Heider | Technician | 4875 N. Pontiac Ave, Norridge, IL 60706 | 2019-08-15 |
| 1295389666 | Energize Group, Inc | Social Worker | 7444 Wilson Avenue, Harwood Heights, IL 60706 | 2019-07-24 |
| 1215311535 | Dmitriy Epshteyn | Physical Therapy Assistant | 7001 Cullom Ave., Norridge, IL 60706 | 2015-07-16 |
| 1265836092 | Orthodontic Experts West | Dentist | 4709 N Harlem Ave, Hardwood Heights, IL 60706 | 2014-10-22 |
| 1932513470 | Best Care for You Inc. | In Home Supportive Care | 4701 N. Cumberland Ave., Suite 12, Norridge, IL 60706 | 2014-06-12 |
| 1982020509 | Sheila Battaglia | Physical Therapy Assistant | 4605 Osage, Norridge, IL 60706 | 2014-03-06 |
| 1659652253 | Sana Hasan | Internal Medicine | 7311 West Montrose Avenue, Norridge, IL 60706 | 2011-09-09 |
| 1922316991 | Gerald Rebustes | Registered Nurse | 4833 N. Olcott Ave.#501, Harwood Heights, IL 60706 | 2010-09-23 |
| 1760683171 | Gwen May Charnota | Dentist | 7821 Lawrence Ave, Norridge, IL 60706 | 2007-05-31 |
| 1457552010 | Thao H Bui | Dentist | 4601 N. Cumberland Avenue, Norridge, IL 60706 | 2007-05-30 |
| Find all providers in zip 60706 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922121599 | Resurrection Services | Clinic/Center | 4900 Cumberland, Resurrection Immediate Care Center Norridge, Norridge, IL 60706-2916 | 2007-04-09 |
| 1083926661 | Resurrection Services | Clinic/Center | 4900 N Cumberland Ave, Suite 200, Norridge, IL 60706-2916 | 2010-07-12 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.