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Organization
RESURRECTION HEALTH CARE
Active
Organization
RESURRECTION HEALTH CARE
Active
Other names
Resurrection Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MYRON NETHERLY JR. MSW,MA (BEHAVIORAL HEALTH TECHNICAN)
(773) 759-5110
Entity
Organization
Contact information
Practice address
1414 MAIN, MELROSE PARK, IL 60160
(708) 681-0073
Mailing address
1414 MAIN ST, MELROSE PARK, IL 60160-3902
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
IL
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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