# RESURRECTION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639332398
- **Authorized official:** DR. SRIDHAR VENKATACHALAM M.D., (RESIDENT PHYSICIAN)
- **Authorized official phone:** (847) 316-4000

## Contact information

- **Practice address:** 355 RIDGE AVE, ST FRANCIS HOSPITAL, EVANSTON, IL 60202-3328
- **Practice address phone:** (847) 316-4000
- **Mailing address:** 311 RIDGE AVE APT 1, EVANSTON, IL 60202-3342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2008
- **Last updated:** 01/09/2009