Resurrection Health Care

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

RESURRECTION HEALTH CARE

Practice address

2617 W Iowa St
Chicago, IL 60622-4577

Phone

(248) 842-9353

NPI assigned

Aug 6, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Olena Gordon, MD

Title

Resident

Phone

(248) 842-9353

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003121658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 W IOWA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224577",
            "telephone_number": "248-842-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 W IOWA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224577",
            "telephone_number": "248-842-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "OLENA",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "248-842-9353",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Guillermo Restrepo, MD
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• Resurrection Health Care
• Resurrection Health Care
• Resurrection Health Care Preferred
• Resurrection Health Care Preferred

• Student in an Organized Health Care Education/Training Program in Chicago, IL
• Providers in Chicago, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.