NPIMap

Organization Active NPI

Resurrection Services

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Chicago, IL
National Provider Identifier
1386767937
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
RESURRECTION SERVICES
Practice address
3101 N Harlem Ave
Resurrection Open MRI Imaging Center
Chicago, IL 60634-4532
Phone
(773) 836-9360
Fax
(773) 745-5522
NPI assigned
Apr 9, 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X IL Primary
Radiology Clinic/Center 261QR0200X IL
Mammography Clinic/Center 261QR0206X IL

Addresses

Primary practice location

3101 N Harlem Ave
Resurrection Open MRI Imaging Center
Chicago, IL 60634-4532

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
917350OtherILMEDICARE GROUP NUMBER
1638753OtherILBCBS GRP

Other names 1

  • Resurrection Open MRI and 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 4

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1386767937",
    "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": "3101 N HARLEM AVE",
            "address_2": "RESURRECTION OPEN MRI IMAGING CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344532",
            "telephone_number": "773-836-9360",
            "fax_number": "773-745-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "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": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "917350",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP",
            "identifier": "1638753",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resurrection Open MRI and Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, 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.