| 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 |