Organization
RESURRECTION SERVICES
Active
Other names
RMG SFH NEUROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MC CORMICK (SR VICE PRESIDENT)
(708) 583-6817
Entity
Organization
Contact information
Practice address
355 RIDGE AVE, SUITE 207, EVANSTON, IL 60202-3328
(847) 316-4000
Mailing address
PO BOX 564437, CHICAGO, IL 60656-4437
(708) 583-7310
(708) 583-9870
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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