Organization
RESURRECTION SERVICES
Active
Other names
THE CENTER FOR CANCER CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MCCORMICK (SR VICE PRESIDENT)
(708) 583-6817
Entity
Organization
Contact information
Practice address
2900 N LAKE SHORE DR, 7 EAST, CHICAGO, IL 60657-5640
(773) 661-5800
Mailing address
PO BOX 564437, CHICAGO, IL 60656-4437
(708) 583-7310
(708) 583-9870
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036120969
IL
207RX0202X
Medical Oncology Physician
036058899
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058899
—
IL
05
—
036120969
—
IL
05
—
041243519
—
IL
Enumeration date
01/28/2011
Last updated
01/31/2011
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