Healthcare Provider Details

I. General information

NPI: 1609178441
Provider Name (Legal Business Name): PRESENCE HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2010
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 N LAKE SHORE DR 12TH FLOOR
CHICAGO IL
60657-5640
US

IV. Provider business mailing address

1000 REMINGTON BOULEVARD
BOLINGBROOK IL
60440-0000
US

V. Phone/Fax

Practice location:
  • Phone: 773-665-4964
  • Fax: 773-665-5182
Mailing address:
  • Phone: 630-914-2417
  • Fax: 630-914-2499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number036115036
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: REINHOLD LLERENA
Title or Position: CEO
Credential: MD
Phone: 224-273-8908