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
800 AUSTIN ST, SUITE 501 WEST TOWER, EVANSTON, IL 60202-3439
(847) 905-1001
(847) 905-1002
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
02/24/2012
Last updated
02/24/2012
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