Organization
RESURRECTION PHYSICIANS PROVIDER GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARA C. ELLINGSON (CHIEF OPERATING OFFICER)
(773) 527-5210
Entity
Organization
Contact information
Practice address
5860 W HIGGINS AVE, CHICAGO, IL 60630-2372
(773) 695-4800
(773) 864-9416
Mailing address
5860 W HIGGINS AVE, CHICAGO, IL 60630-2372
(773) 695-4800
(773) 864-9416
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
04/01/2010
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