RESURRECTION HEALTH CARE NPI 1013285220

NPI Information

NPI: 1013285220
Provider Name: RESURRECTION HEALTH CARE

Doing Business As: RESURRECTION BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1414 MAIN
MELROSE PARK, IL
ZIP 60160
Phone: (708) 681-0073
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RESURRECTION HEALTH CARE is a mental health (including community mental health center) clinic center in Melrose Park, IL. RESURRECTION HEALTH CARE NPI is 1013285220. The provider is registered as an organization entity type.
The provider Is Doing Business As Resurrection Behavioral Health.

The provider's business location address is:

1414 MAIN
MELROSE PARK, IL
ZIP 60160
Phone: (708) 681-0073

The provider's authorized official is John Myron Netherly .
The authorized official title is Behavioral Health Technican and has the following contact phone number (773) 759-5110.

The enumeration date for this NPI number is 12/2/2011 and was last updated on 12/2/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		ILLINOIS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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