Resurrection Services

LBN: Presence Healthcare Services
Resurrection Services is an health care organization with primary practice located at 6974 N Clark St Suite 1, Chicago IL 60626-3221. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Presence Healthcare Services can be contacted via phone (773) 539-1331, or through Wickliffe-Jones, Melvonne via phone (630) 914-2417.

Contact Information

Primary practice address
6974 N Clark St Suite 1 Chicago IL 60626-3221
Phone: (773) 539-1331
Fax: (773) 743-2618
Website:
Map and Directions
Authorized official contact:
Name: Wickliffe-Jones, Melvonne
Phone: (630) 914-2417

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1912961277
LBN Legal business name Presence Healthcare Services
DBA Doing business as Resurrection Services
Authorized official Wickliffe-Jones, Melvonne
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
Last updated Apr 9th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912961277 NPPES
Illinois Other 01633629 BCBS PROVIDER NUMBER

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