Healthcare Provider Details

I. General information

NPI: 1932216819
Provider Name (Legal Business Name): PRESENCE HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 BIESTERFIELD RD UNIT 4D
ELK GROVE VILLAGE IL
60007-3309
US

IV. Provider business mailing address

701 BIESTERFIELD RD UNIT 4D
ELK GROVE VILLAGE IL
60007-3309
US

V. Phone/Fax

Practice location:
  • Phone: 833-291-0464
  • Fax:
Mailing address:
  • Phone: 833-291-0464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: REINHOLD LLERENA
Title or Position: PRESIDENT
Credential:
Phone: 833-291-0464