| Resurrection Health Care | |
|
2900 N Lake Shore Dr Chicago IL 60657-5640 | |
| (773) 665-3236 | |
| (773) 665-3435 |
| Full Name | Resurrection Health Care |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2900 N Lake Shore Dr, Chicago, Illinois |
| Authorized Official Name and Position | Roberta Luskin-hawk (CEO) |
| Authorized Official Contact | 7736653972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurrection Health Care 2900 N Lake Shore Dr Chicago IL 60657-5640 Ph: (773) 665-3236 | Resurrection Health Care 2900 N Lake Shore Dr Chicago IL 60657-5640 Ph: (773) 665-3236 |
| NPI Number | 1285943530 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 10/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285943530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 180007008 (Illinois) | Primary |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
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