Our Lady of the Resurrection Medical Center

NPI #1306845763 in Chicago, Illinois

Provider Information

NPI Number: 1306845763
Entity Type: Organization
Organization Name: Our Lady of the Resurrection Medical Center
Subpart: Yes (part of a larger organization)
Parent Organization: OUR LADY OF THE RESURRECTION MEDICAL CENTER
Primary Specialty: Emergency Medicine
Enumeration Date: Jul 19, 2005
Last Updated: Nov 26, 2007

Practice Location

Address: 5645 W ADDISON ST
City: Chicago
State: Illinois
ZIP Code: 60634-4403
Phone: (773) 774-8000

Authorized Official

Name: MICHAEL S ROSENBERG, M.D.
Title: CHAIRMAN
Phone: (773) 774-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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