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Organization
RESURRECTION SERVICES
Active
Organization
RESURRECTION SERVICES
Active
Other names
Resurrection Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MCCORMICK (SENIOR VICE PRESIDENT)
(708) 583-6817
Entity
Organization
Contact information
Practice address
525 WINNETKA AVE, SUITE A, WINNETKA, IL 60093-4050
(847) 501-4060
(847) 501-4063
Mailing address
62311 COLLECTION CENTER DR, CHICAGO, IL 60693-0623
(800) 273-2614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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