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Organization
RESURRECTION SERVICES
Active
Organization
RESURRECTION SERVICES
Active
Other names
RMG SJH HOSPITALIST
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MCCORMICK (SENIRO VICE PRESIDENT)
(708) 583-6817
Entity
Organization
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3000
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
036108910
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108910
—
IL
05
—
036127801
—
IL
Enumeration date
06/08/2012
Last updated
06/08/2012
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