OrganizationActive
Presence Healthcare Services
NPI 1790078053 · Allergy & Immunology (Internal Medicine) Physician · Chicago, IL
Provider details
- NPI number
- 1790078053
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melvonne Wickliffe-Jones, Credentialing Mgr(630) 914-2417
- License
- 036043445 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2800 N Sheridan Rd
Suite 309
Chicago, IL 60657-6156
Phone: (773) 871-4183
Fax: (773) 883-1202
Approximate (ZIP-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
- 2011-05-19
- 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.