Active NPI
Resurrection Health Care
- General Acute Care Hospital
- Chicago, IL
National Provider Identifier
1124307806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 1098900
- Legal business name
- RESURRECTION HEALTH CARE
- Practice address
- 5645 W Addison St
Chicago, IL 60634-4403 - Phone
- (773) 282-7000
- NPI assigned
- Aug 11, 2011
- 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
- Dr. David Bordo
- Title
- ER Director
- Phone
- (773) 282-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 1098900 | IL | Primary |
Addresses
Primary practice location
5645 W Addison St
Chicago, IL 60634-4403
Mailing address
1355 N Dearborn St Apt 506
Chicago, IL 60610-5886
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313020800000",
"number": "1124307806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 N DEARBORN ST APT 506",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606105886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 W ADDISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344403",
"telephone_number": "773-282-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESURRECTION HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A",
"authorized_official_last_name": "BORDO",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "ER DIRECTOR",
"authorized_official_telephone_number": "773-282-7000",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IL",
"license": "1098900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Resurgo
- Resurrection Ambulatory Services
- Resurrection Behavioral Health
- Resurrection Family Practice Ctr
- Resurrection Health Care
- Resurrection Health Care
- Resurrection Health Care
- Resurrection Health Care Preferred (Saint Joseph Health Preferred)
- Resurrection Health Care Preferred (Resurrection Health Preferred)
- Resurrection Health Care Preferred (Saint Francis Health Preferred)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.