| Presence Medical Group | |
|
6974 N Clark St Chicago IL 60626-3221 | |
| (773) 743-6300 | |
| (773) 743-2618 |
| Full Name | Presence Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 6974 N Clark St, Chicago, Illinois |
| Authorized Official Name and Position | Melvonne Wickliffe-jones (CREDENTIALING MGR) |
| Authorized Official Contact | 6309142417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Presence Medical Group 1000 Remington Boulevard Bolingbrook IL 60440-0000 Ph: (630) 914-2417 | Presence Medical Group 6974 N Clark St Chicago IL 60626-3221 Ph: (773) 743-6300 |
| NPI Number | 1174630040 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 04/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174630040 | NPI | - | NPPES |
| 036107071 | Medicaid | IL | |
| 036079737 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 | |
A Kavaliunas Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 | |
Doc Cam Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 | |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 | |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 | |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 | |
Premier Primary Care And Alternative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 E 47th Street, Bldg 2 Suite B, Chicago, IL 60653 Phone: 773-891-2890 Fax: 773-891-4107 |