Organization Active NPI

Resurrection Services

Doing business as Resurrection Primary Care

  • Multi-Specialty Clinic/Center
  • Norridge, IL
National Provider Identifier
1083926661
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
RESURRECTION SERVICES
Doing business as
Resurrection Primary Care
Practice address
4900 N Cumberland Ave
Suite 200
Norridge, IL 60706-2916
Phone
(708) 456-1600
Fax
(708) 456-2809
NPI assigned
Jul 12, 2010
Last updated
Jul 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Dean M. Hobson
Title
System Director
Phone
(773) 797-3603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4900 N Cumberland Ave
Suite 200
Norridge, IL 60706-2916

Mailing address

15330 S la Grange Rd
Suite 203
Orland Park, IL 60462-3885
Phone (708) 675-8160

Other names 1

  • RESURRECTION PRIMARY CARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1083926661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15330 S LA GRANGE RD",
            "address_2": "SUITE 203",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623885",
            "telephone_number": "708-675-8160",
            "fax_number": "708-364-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 N CUMBERLAND AVE",
            "address_2": "SUITE 200",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607062916",
            "telephone_number": "708-456-1600",
            "fax_number": "708-456-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "HOBSON",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR",
        "authorized_official_telephone_number": "773-797-3603"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RESURRECTION PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.