RESURRECTION HEALTH CARE NPI 1003121658

NPI Information

RESURRECTION HEALTH CARE is a student in an organized health care education training program in Chicago, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. RESURRECTION HEALTH CARE NPI is 1003121658. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2617 W IOWA ST
CHICAGO, IL
ZIP 60622-577
Phone: (248) 842-9353

The provider's authorized official is Olena Gordon .
The authorized official title is Resident and has the following contact phone number (248) 842-9353.

The enumeration date for this NPI number is 8/6/2010 and was last updated on 8/6/2010.

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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