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Organization

RESURRECTION HEALTH CARE

Active
Other names
Resurrection Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN MYRON NETHERLY JR. MSW,MA (BEHAVIORAL HEALTH TECHNICAN)
(773) 759-5110
Entity
Organization

Contact information

Practice address
1414 MAIN, MELROSE PARK, IL 60160
(708) 681-0073
Mailing address
1414 MAIN ST, MELROSE PARK, IL 60160-3902

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
IL

Other

Enumeration date
12/02/2011
Last updated
12/02/2011
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