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Organization

RESURRECTION HEALTH CARE PREFERRED

Active
Other names
Saint Joseph Health Preferred
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELIZABETH STACKPOLE KOCH (SYSTEM DIRECTOR, PHYSICIAN MGD CARE)
(773) 572-8331
Entity
Organization

Contact information

Practice address
1021 W ADAMS ST, SUITE 300, CHICAGO, IL 60607-2934
(773) 572-8300
(312) 455-9485
Mailing address
1021 W ADAMS ST, SUITE 300, CHICAGO, IL 60607-2934
(773) 572-8300
(312) 455-9485

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
07/13/2007
Last updated
08/06/2008
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