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Organization
RESURRECTION SERVICES
Active
Organization
RESURRECTION SERVICES
Active
Other names
Harold B. Eulien
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MCCORMICK (SENIOR VICE PRESIDENT)
(708) 583-6817
Entity
Organization
Contact information
Practice address
2800 N SHERIDAN RD, SUITE 309, CHICAGO, IL 60657-6156
(773) 248-6913
(773) 248-8464
Mailing address
PO BOX 564437, CHICAGO, IL 60656-4437
(773) 525-4740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036060963
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060963
—
IL
01
—
745367
MEDICARE PTAN
IL
Enumeration date
08/04/2011
Last updated
01/12/2012
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