RESURRECTION SERVICES NPI 1962776856

NPI Information

RESURRECTION SERVICES is a general practice in Evanston, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RESURRECTION SERVICES NPI is 1962776856. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Resurrection Medical Group.

The provider's business location address is:

800 AUSTIN ST
SUITE 501 WEST TOWER
EVANSTON, IL
ZIP 60202-439
Phone: (847) 905-1001
Fax: (847) 905-1002

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

The enumeration date for this NPI number is 2/24/2012 and was last updated on 2/24/2012.

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:

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