| Resurrection Medical Group | |
|
2500 Ridge Ave Suite 104 Evanston IL 60201-2455 | |
| (847) 869-1192 | |
| (847) 869-8354 |
| Full Name | Resurrection Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 Ridge Ave, Evanston, Illinois |
| Authorized Official Name and Position | Daniel Mccormick (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 7085836817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurrection Medical Group 62311 Collection Center Dr Chicago IL 60693-0623 Ph: (800) 273-2614 | Resurrection Medical Group 2500 Ridge Ave Suite 104 Evanston IL 60201-2455 Ph: (847) 869-1192 |
| NPI Number | 1770855546 |
|---|---|
| Provider Enumeration Date | 02/08/2012 |
| Last Update Date | 02/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770855546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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