Active NPI
Resurrection Services
- Radiology Clinic/Center
- River Forest, IL
National Provider Identifier
1104940329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619414 | Other | BCBS GROUP | |
| 140049 | Other | IL | HOSPITAL MC GROUP NUMBER |
Other names 1
- RES-Health Advanced Imaging Center
National Provider Directory
National Provider DirectoryMember 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.
-
- Family Medicine Physician
- Des Plaines, IL
- NPI 1528099157
-
- Internal Medicine Physician
- Elmwood Park, IL
- NPI 1659302263
-
- Family Medicine Physician
- Norridge, IL
- NPI 1871674267
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
- Resilience Healthcare-West Suburban Medical Center, LLC
- Resurrection Ambulatory Services
- Resurrection Ambulatory Services
- Resurrection Ambulatory Services
- Resurrection Home Health Services
- Resurrection Services
- Resurrection Services
- Monica Reyna-Vukotich, D.D.S.
- Carlos Manuel Reynes, M.D.
- Eva Reynoso, LCSW
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.