NPI | 1821191867 |
---|---|
Former Legal Business Name | RESURRECTION SERVICES |
Entity Type | Organization |
Authorized Contact | MELVONNE WICKLIFFE-JONES Credentialing Mgr 630-914-2417 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2006-09-06 |
Last Update Date | 2013-04-09 |