Organization
RESURRECTION HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA PETERSON LCSW (MANAGER OF OUTPATIENT)
(312) 770-0320
Entity
Organization
Contact information
Practice address
1431 N CLAREMONT AVE, 2ND FLOOR PAVILLION, CHICAGO, IL 60622-1702
(312) 633-5890
Mailing address
1431 N CLAREMONT AVE, 2ND FLOOR PAVILLION, CHICAGO, IL 60622-1702
(312) 633-5890
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
149013910
IL
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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