Organization
RESURRECTION HEALTH CARE PREFERRED
Active
Other names
Saints Mary and Elizabeth Health Preferred
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH STACKPOLE KOCH (SYSTEM DIRECTOR, PHYSICIAN MGD CARE)
(773) 572-8331
Entity
Organization
Contact information
Practice address
1021 W ADAMS ST, SUITE 300, CHICAGO, IL 60607-2934
(773) 572-8300
(312) 455-9485
Mailing address
1021 W ADAMS ST, SUITE 300, CHICAGO, IL 60607-2934
(773) 572-8300
(312) 455-9485
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/06/2008
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