Resurrection Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RESURRECTION SERVICES

Doing business as

Derek R Olson DO

Practice address

5113 N Clark St
Chicago, IL 60640-2807

Phone

(773) 271-2050

Fax

(773) 271-0911

NPI assigned

Aug 24, 2006

Last updated

Oct 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Len Dedic

Title

Vice President

Phone

(708) 583-6818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DEREK R OLSON DO Doing business as

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1205943107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402807",
            "telephone_number": "773-271-2050",
            "fax_number": "773-271-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402807",
            "telephone_number": "773-271-2050",
            "fax_number": "773-271-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "DEDIC",
        "authorized_official_first_name": "LEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "708-583-6818"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "211982",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEREK R OLSON DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Resurrection Medical Center - Chicago LLC (Prime Healthcare Rx 1003)
• Resurrection Medical Centre
• Resurrection Physicians Provider Group
• Resurrection Services
• Resurrection Services (Rokeya Begum-Akhtar MD)
• Resurrection Services (Resurrection Ambulatory Care Services)
• Resurrection Services (Resurrection Medical Group)
• Resurrection Services (The Center for Cancer Care)
• Resurrection Services (Resurrection Open MRI and Imaging Center)
• Resurrection Services

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.