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Organization

OUR LADY OF THE RESURRECTION MEDICAL CENTER

Active
Parent organization
OUR LADY OF THE RESURRECTION MEDICAL CENTER
Other names
Addison Emergency Physicians
Organization subpart
Yes

Provider details

NPI number
Legal business name
OUR LADY OF THE RESURRECTION MEDICAL CENTER
Authorized official
MICHAEL S ROSENBERG M.D. (CHAIRMAN)
(773) 774-8000
Entity
Organization

Contact information

Practice address
5645 W ADDISON ST, CHICAGO, IL 60634-4403
(773) 774-8000
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
07/19/2005
Last updated
11/26/2007
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