| Resurrection Services | |
|
619 South 25th Avenue Bellwood IL 60104 | |
| (708) 547-7951 | |
| (708) 547-8192 |
| Full Name | Resurrection Services |
|---|---|
| Speciality | Family Medicine |
| Location | 619 South 25th Avenue, Bellwood, Illinois |
| Authorized Official Name and Position | Leonard Dedic (VICE PRESIDENT) |
| Authorized Official Contact | 7085836818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurrection Services 619 South 25th Avenue Bellwood IL 60104 Ph: (708) 547-7951 | Resurrection Services 619 South 25th Avenue Bellwood IL 60104 Ph: (708) 547-7951 |
| NPI Number | 1851455588 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851455588 | NPI | - | NPPES |
| 214635 | Other | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
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