| Resurrection Services | |
|
4833 N Milwaukee Ave Chicago IL 60630-2145 | |
| (773) 205-2857 | |
| (708) 205-4380 |
| Full Name | Resurrection Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 4833 N Milwaukee Ave, Chicago, Illinois |
| Authorized Official Name and Position | Reinhold Llerena (CEO) |
| Authorized Official Contact | 2242738908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurrection Services 1000 Remington Boulevard Bolingbrook IL 60440-0000 Ph: (630) 914-2417 | Resurrection Services 4833 N Milwaukee Ave Chicago IL 60630-2145 Ph: (773) 205-2857 |
| NPI Number | 1285741033 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 06/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285741033 | NPI | - | NPPES |
| 036095449 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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