Resurrection Family Practice Ctr

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

125-054834 Issued in IL

Legal business name

RESURRECTION FAMILY PRACTICE CTR

Practice address

7447 W Talcott Ave
Suite 182
Chicago, IL 60631-3745

Phone

(773) 792-5155

NPI assigned

Aug 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tim McCurry

Title

Program Director

Phone

(773) 792-5155

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1447406665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 N LEONARD DR APT 3A",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607062838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 182",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-792-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION FAMILY PRACTICE CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "MCCURRY",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "773-792-5155",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125-054834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restoring Minds LLC
• Juan Guillermo Restrepo, MD
• Resurgo
• Resurrection Ambulatory Services
• Resurrection Behavioral Health
• Resurrection Health Care
• Resurrection Health Care
• Resurrection Health Care
• Resurrection Health Care
• Resurrection Health Care Preferred

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.