Presence Medical Group
LBN: Resurrection Services
Presence Medical Group is an health care organization with primary practice located at 205 S Northwest Hwy Suite 130, Park Ridge IL 60068-5802. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Resurrection Services can be contacted via phone (847) 292-5200, or through Mccormick, Daniel via phone (708) 583-6817.
Contact Information
Primary practice address
205 S Northwest Hwy Suite 130
Park Ridge IL 60068-5802
Phone: (847) 292-5200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036080241 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036054785 | Illinois |
Profile Details
| NPI number | 1235495631 |
|---|---|
| LBN Legal business name | Resurrection Services |
| DBA Doing business as | Presence Medical Group |
| Authorized official | Mccormick, Daniel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 10th, 2012 |
| Last updated | Apr 17th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235495631 | NPPES |
| Illinois | Other | 745367 | MEDICARE PTAN |
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