Organization
RESURRECTION SERVICES
Active
Other names
RMG OLR OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MC CORMICK (SR VICE PRESIDENT)
(708) 583-6817
Entity
Organization
Contact information
Practice address
5600 W ADDISON ST, STE 504, CHICAGO, IL 60634-4401
(773) 282-5299
(773) 282-5504
Mailing address
PO BOX 564437, CHICAGO, IL 60656-4437
(708) 583-7310
(708) 583-9870
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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