| NPI | 1790078053 |
|---|---|
| Former Legal Business Name | RESURRECTION SERVICES |
| Entity Type | Organization |
| Authorized Contact | MELVONNE WICKLIFFE-JONES Credentialing Mgr 630-914-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036043445) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 036043445) | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2013-04-10 |