PRESENCE HEALTHCARE SERVICES (NPI# 1417252909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417252909 |
| Entity Type | Organization |
| Organization Name | PRESENCE HEALTHCARE SERVICES |
| Other Organization Name | RESURRECTION SERVICES |
| Practice Address |
2233 W Division St Chicago IL 60622-3086 |
| Mailing Address |
1000 Remington Boulevard Bolingbrook IL 60440-0000 |
| Practice Telephone | 3127702000 |
| Mailing Telephone | 6309142417 |
| Mailing Fax Number | 6309142499 |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2013-04-09 |
| 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 | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Resurrection Services | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043748338 | Presence Healthcare Services | Internal Medicine | 1000 Remington Blvd Ste 100, Bolingbrook, IL 60440-4707 | 2017-05-31 |
| 1356727127 | Presence Healthcare Services | Internal Medicine | 2601 Navistar Dr Fl 2, Lisle, IL 60532-3679 | 2015-08-04 |
| 1295019842 | Presence Healthcare Services | Family Medicine | 3046 N Ashland Ave, Chicago, IL 60657-3034 | 2011-09-30 |
| 1851672224 | Presence Healthcare Services | Internal Medicine | 1792 East Oakton Street, Chicago, IL 60018-2110 | 2011-08-30 |
| 1902198161 | Presence Healthcare Services | Family Medicine | 5251 North Milwaukee Avenue, Chicago, IL 60630-4437 | 2011-05-06 |
| 1528359924 | Presence Healthcare Services | Family Medicine | 1431 North Western Avenue, Suite 502, Chicago, IL 60622-1797 | 2011-04-20 |
| 1699078238 | Presence Healthcare Services | Internal Medicine | 5747 West Dempster Street, Morton Grove, IL 60053-3056 | 2010-12-20 |
| 1760701841 | Presence Healthcare Services | Otolaryngology | 5308 North Belmont Avenue, Chicago, IL 60641-0000 | 2010-05-27 |
| 1841381738 | Presence Healthcare Services | Pharmacy | 100 N. River Road, Suite 122s, Des Plaines, IL 60016-1209 | 2006-09-27 |
| 1932216819 | Presence Healthcare Services | Family Medicine | 2601 Navistar Dr Fl 3, Lisle, IL 60532-3679 | 2006-08-24 |
| Street Address |
2233 W DIVISION ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-3086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895263 | Maruti Bhorade, M.d. | Internal Medicine | 2233 W Division St, Chicago, IL 60622-3043 | 2005-07-19 |
| 1750909396 | Savannah Leigh Paul | Registered Nurse | 2233 W Division St, Chicago, IL 60622-8151 | 2020-07-09 |
| 1700413648 | Julian Carr Aliber | Physical Therapist | 2233 W Division St, Chicago, IL 60622-8151 | 2020-03-23 |
| 1598391674 | Vanessa Patkowski | Occupational Therapist | 2233 W Division St, Chicago, IL 60622-8151 | 2020-03-20 |
| 1013551472 | Work & Pillay Sc | Psychiatry & Neurology | 2233 W Division St, Chicago, IL 60622-8151 | 2019-10-29 |
| 1861043085 | Andrea Beshalske | Pharmacist | 2233 W Division St, Chicago, IL 60622-8151 | 2019-09-28 |
| 1982269379 | Jessica M Kunkel | Nurse Anesthetist, Certified Registered | 2233 W Division St, Chicago, IL 60622-8151 | 2019-05-01 |
| 1427514280 | Megan Hynes | Registered Nurse | 2233 W Division St, Chicago, IL 60622-8151 | 2019-02-18 |
| 1548724982 | Joel Manalo Ocampo | Nurse Practitioner | 2233 W Division St, Chicago, IL 60622-8151 | 2019-01-30 |
| 1104390301 | Adriel Geoff Cansino | Registered Nurse | 2233 W Division St, Chicago, IL 60622-8151 | 2019-01-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503394 | Susan Lochhead | Emergency Medicine | 1930 N Fremont St, Chicago, IL 60614-5017 | 2020-09-19 |
| 1851900344 | Cepamerica Illinois PC | Emergency Medicine | 2112 S Michigan Ave, Chicago, IL 60616-1704 | 2020-07-30 |
| 1538622287 | Brandon Fen Chang | Emergency Medicine | 820 S Wood St Ste 100, Chicago, IL 60612-4325 | 2019-04-10 |
| 1053872630 | Oretunlewa Soyinka | Emergency Medicine | 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 | 2019-03-27 |
| 1457818098 | Innovative Iv Care, Pllc | Emergency Medicine | 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 | 2019-03-01 |
| 1013414077 | Lauran Wirfs | Emergency Medicine | 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 | 2018-04-06 |
| 1518461987 | David Bennett Feiger | Emergency Medicine | 211 E Huron St, Suite 200, Chicago, IL 60611-3055 | 2018-03-21 |
| 1639699127 | Eugene David Hill | Emergency Medicine | 1623 N Rockwell St, Chicago, IL 60647-5217 | 2017-06-26 |
| 1740719905 | Courtney Hutchins | Emergency Medicine | 5841 S. Maryland Avenue Mc1052, J-141, Chicago, ID 60637 | 2017-06-09 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
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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.