NPI 1235401019

Resurrection Services

Organisation General Practice Physician Skokie, IL

Practice location

Address: 4905 Old Orchard Ctr Suite 634, Skokie, IL 60077-1458
Phone: (847) 679-5120
Fax: (847) 679-5122
Mailing address: 62311 Collection Center Dr, Chicago, IL 60693-0623

Authorised official

Name: Daniel McCormick
Title: Senior Vice President
Phone: (708) 583-6817

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1235401019
Entity type: Organization
NPI issued: 8 Feb 2012
Record last updated: 8 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.