NPIMap

Organization Active NPI

Resurrection Health Care

  • Urgent Care Clinic/Center
  • Melrose Park, IL
National Provider Identifier
1073718748
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
RESURRECTION HEALTH CARE
Practice address
1111 Superior St
#207
Melrose Park, IL 60160-4138
Phone
(708) 938-7580
Fax
(708) 938-7381
NPI assigned
Jun 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christopher F. Serpico
Title
Physician Assistant-Certified
Phone
(312) 608-6466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X IL Primary

Addresses

Primary practice location

1111 Superior St
#207
Melrose Park, IL 60160-4138

Mailing address

3501 N Southport Ave
#179
Chicago, IL 60657-1435

National Provider Directory

National Provider Directory
Tax ID family
Saint Joseph Hospital12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073718748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N SOUTHPORT AVE",
            "address_2": "#179",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "#207",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604138",
            "telephone_number": "708-938-7580",
            "fax_number": "708-938-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SERPICO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT-CERTIFIED",
        "authorized_official_telephone_number": "312-608-6466"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.