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Organization
RESURRECTION SERVICES
Active
Organization
RESURRECTION SERVICES
Active
Other names
THE CENTER FOR CANCER CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MCCORMICK (SR VICE PRESIDENT)
(708) 583-6817
Entity
Organization
Contact information
Practice address
2900 N LAKE SHORE DR, 7 EAST, CHICAGO, IL 60657-5640
(773) 661-5800
Mailing address
PO BOX 564437, CHICAGO, IL 60656-4437
(708) 583-7310
(708) 583-9870
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036120969
IL
207RX0202X
Medical Oncology Physician
036058899
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058899
—
IL
05
—
036120969
—
IL
05
—
041243519
—
IL
Enumeration date
01/28/2011
Last updated
01/31/2011
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