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RESURRECTION SERVICES NPI 1356647960


NPI Information

NPI: 1356647960
Provider Name: RESURRECTION SERVICES

Doing Business As: THE CENTER FOR CANCER CARE

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
2900 N LAKE SHORE DR
7 EAST
CHICAGO, IL
ZIP 60657
Phone: (773) 661-5800
Get Directions

RESURRECTION SERVICES is a hematology and oncology internal medicine in Chicago, IL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. RESURRECTION SERVICES NPI is 1356647960. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Center For Cancer Care.

The provider's business location address is:

2900 N LAKE SHORE DR
7 EAST
CHICAGO, IL
ZIP 60657-640
Phone: (773) 661-5800

The provider's authorized official is Daniel Mccormick .
The authorized official title is Sr Vice President and has the following contact phone number (708) 583-6817.

The enumeration date for this NPI number is 1/28/2011 and was last updated on 1/31/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RX0202XInternal MedicineMedical Oncology036058899ILLINOISNo
2207RH0003XInternal MedicineHematology & Oncology036120969ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036058899MEDICAIDILLINOIS
2036120969MEDICAIDILLINOIS
3041243519MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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