PRESENCE AMBULATORY SERVICE (NPI# 1336580026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336580026 |
| Entity Type | Organization |
| Organization Name | PRESENCE AMBULATORY SERVICE |
| Other Organization Name | PRESENCE REHAB CLINIC |
| Practice Address |
1625 Sheridan Rd Suite 1a Wilmette IL 60091-1824 |
| Mailing Address |
1000 Remington Blvd Suite 100 Bolingbrook IL 60440-5114 |
| Practice Telephone | 8472562890 |
| Practice Fax Number | 8472562802 |
| Mailing Telephone | 6309142417 |
| Mailing Fax Number | 6309142499 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | MELVONNE JONES (MGR, CREDENTIALING) |
| Authorized Official Telephone | 6309142417 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PRESENCE REHAB CLINIC | Doing Business As Name - Organization |
| Street Address |
1625 SHERIDAN RD SUITE 1A |
| City | WILMETTE |
| State | IL |
| Zip Code | 60091-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952369217 | North Shore Physicians Group, LLC | Specialist | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2006-05-03 |
| 1134660392 | Mantis Dentistry & Implant Center | Dentist | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2017-03-20 |
| 1649514274 | Andrea Sabine Wieger | Physical Therapist | 1625 Sheridan Rd, Suite A, Wilmette, IL 60091-1824 | 2012-11-20 |
| 1740554450 | Resurrection Services | Internal Medicine | 1625 Sheridan Rd, Suite A, Wilmette, IL 60091-1824 | 2012-02-27 |
| 1710259577 | Resurrection Services | Internal Medicine | 1625 Sheridan Rd, Suite F, Wilmette, IL 60091-1824 | 2012-02-08 |
| 1972885374 | Mary Morgan Snediker | Nurse Practitioner | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2011-09-13 |
| 1881853372 | Jaime So | Physical Therapist | 1625 Sheridan Rd, Suite A, Wilmette, IL 60091-1824 | 2008-06-09 |
| 1528255213 | Lgm,llc | Internal Medicine | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2007-09-26 |
| 1184818791 | Rajesh Jindal | Internal Medicine | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2007-08-28 |
| 1598970360 | Northshore Physicians Group, LLC | Physical Therapist | 1625 Sheridan Rd, Suite A, Wilmette, IL 60091-1824 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
| 1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
| 1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
| 1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
| 1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| Find all providers in zip 60091 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457399461 | Manor Care of Wilmette Il, LLC | Clinic/Center | 432 Poplar Dr, Wilmette, IL 60091-2731 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243020 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 2500 Williamson County Pkwy, Suite B, Marion, IL 62959-5271 | 2020-10-23 |
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1093320855 | Rci (wrs), LLC. | Clinic/Center | 17 West 580 Butterfield Road, Oakbrook Terrace, IL 60181 | 2020-09-09 |
| 1558975706 | Rci (wrs), LLC. | Clinic/Center | 370 Bank Dr, Mchenry, IL 60050-0506 | 2020-09-04 |
| 1588278741 | Rci (wrs), LLC. | Clinic/Center | 1151 S State St, Chicago, IL 60605-2304 | 2020-09-04 |
| 1487268553 | Rci (wrs), LLC. | Clinic/Center | 15 Tower Ct Ste 235, Gurnee, IL 60031-3354 | 2020-09-04 |
| 1285248351 | Rci (wrs), LLC. | Clinic/Center | 884 S Rand Rd Ste A, Lake Zurich, IL 60047-3412 | 2020-09-04 |
| 1295349355 | Rci (wrs), LLC. | Clinic/Center | 140 N Addison Ave Fl 2, Elmhurst, IL 60126-2810 | 2020-09-04 |
| 1043824287 | Rci (wrs), LLC. | Clinic/Center | 1525 E 55th St Ste 305, Chicago, IL 60615-5576 | 2020-09-04 |
| 1396359469 | Rci (wrs), LLC. | Clinic/Center | 939 W North Ave Ste 300, Chicago, IL 60642-7139 | 2020-09-04 |
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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.