| NPI | 1891067666 |
|---|---|
| Other Name | RESURRECTION MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DANIEL MCCORMICK Senior Vice President 708-583-6817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |