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Organization

RESURRECTION SERVICES

Active
Other names
Resurrection Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL MCCORMICK (SENIOR VICE PRESIDENT)
(708) 583-6817
Entity
Organization

Contact information

Practice address
310 HAPP RD, SUITE 207, NORTHFIELD, IL 60093-3455
(847) 784-5200
(847) 784-5201
Mailing address
62311 COLLECTION CENTER DR, CHICAGO, IL 60693-0623
(800) 273-2614

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
02/08/2012
Last updated
02/08/2012
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