Organization · Type 2 NPI
Resurrection Services
General Practice Physician · Evanston, IL
NPI number
1962776856
Active
Practice location
800 Austin St, Suite 501 West Tower
Evanston, IL 60202-3439
Fax (847) 905-1002
Mailing address
62311 Collection Center Dr
Chicago, IL 60693-0623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1962776856
Resurrection Services's National Provider Identifier is 1962776856, issued on Feb 24, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Evanston, IL. The record was last updated on Feb 24, 2012.