Organization
RESURRECTION MEDICAL CENTER - CHICAGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
7435 W TALCOTT AVE STE T1289, CHICAGO, IL 60631-3707
(773) 990-7250
(773) 990-4065
Mailing address
7435 W TALCOTT AVE STE T1289, CHICAGO, IL 60631-3707
(773) 990-7250
(773) 990-4065
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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