Organization · Type 2 NPI

Presence Ambulatory Services

Radiology Clinic/Center · Skokie, IL

NPI number 1831435841 Active

Practice location

9312 Skokie Blvd
Skokie, IL 60077-1309

Call (847) 329-7788 Map

Mailing address

1000 Remington Blvd, Suite 100
Bolingbrook, IL 60440-5114

Specialties and licenses

Taxonomy	Code	License
Radiology Clinic/Center Primary	261QR0200X	None listed

Radiology Clinic/Center: Definition to come...

5 other providers at this address

Other radiology clinic/center providers in Skokie

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NPI record

NPI: 1831435841
Entity type: Organization (Type 2)
Issued: Dec 19, 2012
Last updated: Mar 12, 2013
Status: Active
Subpart: Yes of Presence Healthcare Services

Other names

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Presence Northshore Physicians Group Advanced Imaging Center · doing business as

Authorized official

Melvonne Wickliffe-Jones
Manager, Credentialing & Provider R
(630) 914-2417

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1831435841

Presence Ambulatory Services's National Provider Identifier is 1831435841, issued on Dec 19, 2012. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Skokie, IL. The record was last updated on Mar 12, 2013.