| Organization Name: | RESURRECTION HEALTH CARE |
| NPI Number: | 1073718748 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER F. SERPICO (PHYSICIAN ASSISTANT-CERTIFIED) |
| Mailing Address: | 1111 Superior St #207 Melrose Park |
| State: | IL US |
| Postal Code: | 601604138 |
| Phone Number: | 7089387580 |
| Fax Number: | 7089387381 |
| NPI Enumeration Date: | 06/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |