Organization
PRESENCE CHICAGO HOSPITALS NETWORK
Active
Parent organization
PRESENCE RESURRECTION MEDICAL CENTER
Other names
Presence Resurrection Medical Center-Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESENCE RESURRECTION MEDICAL CENTER
Authorized official
LISA E NEUMAN (VP FINANCE)
(224) 273-0516
Entity
Organization
Contact information
Practice address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
(773) 774-8000
Mailing address
100 N RIVER RD, DES PLAINES, IL 60016-1209
(847) 813-3666
(847) 813-3681
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0269
BLUE CROSS PROVIDER NUMBE
IL
Enumeration date
10/06/2006
Last updated
01/01/2022
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