Organization Active NPI

Resurrection Services

  • Radiology Clinic/Center
  • River Forest, IL
National Provider Identifier
1104940329
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
RESURRECTION SERVICES
Practice address
420 William Street
1St Floor
River Forest, IL 60305-1920
Phone
(708) 488-2300
Fax
(708) 488-2302
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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
Radiology Clinic/Center 261QR0200X IL Primary

Addresses

Primary practice location

420 William Street
1St Floor
River Forest, IL 60305-1920

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
1619414OtherBCBS GROUP
140049OtherILHOSPITAL MC GROUP NUMBER

Other names 1

  • RES-Health Advanced Imaging Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1104940329",
    "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": "420 WILLIAM STREET",
            "address_2": "1ST FLOOR",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051920",
            "telephone_number": "708-488-2300",
            "fax_number": "708-488-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2009-10-30",
        "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": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "1619414",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL MC GROUP NUMBER",
            "identifier": "140049",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RES-Health Advanced Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in River Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.