Organization
RESILIENCE HEALTHCARE - LAKEFRONT MEDICAL ASSOCIATES, LLC
Active
Other names
CHMG - Lakefront Cancer Center, Chicago Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MANOJ PRASAD (CEO)
(708) 763-6700
Entity
Organization
Contact information
Practice address
4700 N MARINE DR STE 315, CHICAGO, IL 60640-7976
(773) 564-5030
Mailing address
4646 N MARINE DR, CHICAGO, IL 60640-5759
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/13/2023
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