PRESENCE HEALTHCARE SERVICES (NPI# 1477845691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477845691 |
| Entity Type | Organization |
| Organization Name | PRESENCE HEALTHCARE SERVICES |
| Other Organization Name | PRESENCE MEDICAL GROUP |
| Practice Address |
800 Austin St #409 West Tower Evanston IL 60202-3439 |
| Mailing Address |
1000 Remington Boulevard Bolingbrook IL 60440-0000 |
| Practice Telephone | 8477331495 |
| Practice Fax Number | 8477331994 |
| Mailing Telephone | 6309142417 |
| Mailing Fax Number | 6309142499 |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2013-04-10 |
| 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 |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036053924 | IL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036053924 | 05 |
| Other Name | Type Code |
|---|---|
| Presence Medical Group | Doing Business As 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 |
800 AUSTIN ST #409 WEST TOWER |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506665 | Thomas J Campbell | Internal Medicine | 800 Austin St, Ste 451e, Evanston, IL 60202-3455 | 2005-05-27 |
| 1518579739 | Rizwana Patel | Nurse Practitioner | 800 Austin St, Evanston, IL 60202-3439 | 2020-08-19 |
| 1467949594 | Hazel H Almores | Nurse Practitioner | 800 Austin St, East Tower, Ste 360, Evanston, IL 60202 | 2018-04-14 |
| 1073043469 | Envision Mobile Imaging, LLC | Clinic/Center | 800 Austin St, Evanston, IL 60202-3439 | 2017-06-18 |
| 1407209265 | Czamira Alba | Nurse Practitioner | 800 Austin St, Ste 369, Evanston, IL 60202-3439 | 2016-07-18 |
| 1396103230 | Gnogno Md Visiting Physician Group Inc. | Internal Medicine | 800 Austin St, 269e, Evanston, IL 60202-3439 | 2016-02-07 |
| 1255706131 | Presence Chicago Hospitals Network | Internal Medicine | 800 Austin St, Suite 207 West Tower, Evanston, IL 60202-3439 | 2015-12-03 |
| 1730566779 | Sonam Shokso | Nurse Practitioner | 800 Austin St, Suite 269, Evanston, IL 60202-3439 | 2015-04-29 |
| 1235574237 | Anshu Gupta, Md, P.C. | Internal Medicine | 800 Austin St, Suite 607, West Tower, Evanston, IL 60202-3439 | 2013-05-03 |
| 1447508874 | Mohamad Albsheri | Student in an Organized Health Care Education/Training Program | 800 Austin St, Evanston, IL 60202-3439 | 2012-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689207722 | South Lincoln Hospital District | Family Medicine | 195 Feather Way Stop 100, Evanston, WY 82930-9352 | 2020-02-18 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1235503459 | South Lincoln Hospital District | Family Medicine | 195 Feather Way Ste 100, Evanston, WY 82930-9352 | 2015-11-26 |
| 1194094086 | Zulfikar Esmail | Family Medicine | 1616 Forest Pl, Evanston, IL 60201-4663 | 2011-12-21 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| 1821280256 | Humera Khan | Family Medicine | 800 Austin St Ste 505, Evanston, IL 60202-3439 | 2007-08-09 |
| 1902934532 | Michael Kevin Rakotz | Family Medicine | 1704 Maple Ave, Suite 200, Evanston, IL 60201-3134 | 2007-03-02 |
| 1497819692 | Geeta Maker-clark | Family Medicine | 909 Davis St Ste 200, Evanston, IL 60201-3664 | 2006-12-21 |
| 1982779047 | Elena Fitchev | Family Medicine | 800 Austin St Ste 502w, Evanston, IL 60202-3445 | 2006-11-22 |
| 1063528255 | Carl Elmer Hill | Family Medicine | 841 Dodge Ave, Evanston, IL 60202 | 2006-08-22 |
| Find all providers in EVANSTON | ||||
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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.