Proviso Family Services Inc

LBN: Presence Proviso Family Services Inc
Proviso Family Services Inc is an health care organization with primary practice located at 2940 N Ashland Ave , Chicago IL 60657-4004. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Presence Proviso Family Services Inc can be contacted via phone (773) 525-4440, or through Wickliffe-Jones, Melvonne via phone (630) 914-2417.

Contact Information

Primary practice address
2940 N Ashland Ave Chicago IL 60657-4004
Phone: (773) 525-4440
Fax: (773) 525-7771
Website:
Map and Directions
Authorized official contact:
Name: Wickliffe-Jones, Melvonne
Phone: (630) 914-2417

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Illinois

Profile Details

NPI number 1235411703
LBN Legal business name Presence Proviso Family Services Inc
DBA Doing business as Proviso Family Services Inc
Authorized official Wickliffe-Jones, Melvonne
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2011
Last updated Apr 9th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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