Active NPI
Resurrection Services
Doing business as Resurrection Primary Care
- Multi-Specialty Clinic/Center
- Norridge, IL
National Provider Identifier
1083926661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1396760203
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
- Lucas Pritzl, PT
- Katherine Prokop, CCC-SLP
- Katarzyna Pszczola
- Leonard M. Randazzo, O.D.
- Christine Remoquillo, PT
- Resurrection Services (Norridge Family Practice)
- Resurrection Services (Resurrection Immediate Care Center Norridge)
- Resurrection Westlake Hospital
- Ridgewood High School District 234
- Lori E Risner, OT
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.