| Resurrection Family Practice Ctr | |
|
7447 W Talcott Ave Suite 182 Chicago IL 60631-3745 | |
| (773) 792-5155 | |
| Not Available |
| Full Name | Resurrection Family Practice Ctr |
|---|---|
| Speciality | Family Medicine |
| Location | 7447 W Talcott Ave, Chicago, Illinois |
| Authorized Official Name and Position | Tim Mccurry (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7737925155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurrection Family Practice Ctr 5030 N Leonard Dr Apt 3a Norridge IL 60706-2838 Ph: () - | Resurrection Family Practice Ctr 7447 W Talcott Ave Suite 182 Chicago IL 60631-3745 Ph: (773) 792-5155 |
| NPI Number | 1447406665 |
|---|---|
| Provider Enumeration Date | 08/08/2008 |
| Last Update Date | 08/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447406665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125-054834 (Illinois) | Primary |
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