NPIMap

Organization Active NPI

Resurrection Services

Doing business as Niles Medical Association

  • Internal Medicine Physician
  • Niles, IL
National Provider Identifier
1043327091
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RESURRECTION SERVICES
Doing business as
Niles Medical Association
Practice address
7157 W Howard St
Niles, IL 60714-3757
Phone
(847) 647-1771
Fax
(847) 647-5981
NPI assigned
Aug 24, 2006
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Len Dedic
Title
Vice President
Phone
(708) 583-6818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

7157 W Howard St
Niles, IL 60714-3757

Mailing address

7157 W Howard St
Niles, IL 60714-3757
Phone (847) 647-1771

Other names 1

  • NILES MEDICAL ASSOCIATION Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mehroo Patel MD24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1043327091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7157 W HOWARD ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143757",
            "telephone_number": "847-647-1771",
            "fax_number": "847-647-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7157 W HOWARD ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143757",
            "telephone_number": "847-647-1771",
            "fax_number": "847-647-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "DEDIC",
        "authorized_official_first_name": "LEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "708-583-6818"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NILES MEDICAL ASSOCIATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.