Resurrection Services

LBN: Presence Healthcare Services
Resurrection Services is an health care organization with primary practice located at 2800 N Sheridan Rd Suite 309, Chicago IL 60657-6156. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as the primary health care specialty. Presence Healthcare Services can be contacted via phone (773) 871-4183, or through Wickliffe-Jones, Melvonne via phone (630) 914-2417.

Contact Information

Primary practice address
2800 N Sheridan Rd Suite 309 Chicago IL 60657-6156
Phone: (773) 871-4183
Fax: (773) 883-1202
Website:
Map and Directions
Authorized official contact:
Name: Wickliffe-Jones, Melvonne
Phone: (630) 914-2417

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 036043445 Illinois
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 036043445 Illinois
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X

Profile Details

NPI number 1790078053
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 May 19th, 2011
Last updated Apr 10th, 2013 - about 13 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 1790078053 NPPES
Illinois MEDICAID 036043445

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