OrganizationActive
Presence Healthcare Services
NPI 1376832097 · Family Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1376832097
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melvonne Wickliffe-Jones, Credentialing Mgr(630) 914-2417
- License
- 036121594 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7447 W Talcott Ave
Suite 245
Chicago, IL 60631-3745
Phone: (773) 774-7474
Fax: (773) 774-4273
Street-level locationGet directions
Mailing address
1000 Remington Boulevard
Bolingbrook, IL 60440-0000
Other names (DBA / former)
- Former legal business name
- Resurrection Services
Registry dates
- Enumerated
- 2011-04-04
- Last updated
- 2013-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.