NPIMap

Organization Active NPI

Resurrection Health Care Preferred

  • General Practice Physician
  • Des Plaines, IL
National Provider Identifier
1477895480
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RESURRECTION HEALTH CARE PREFERRED
Practice address
2380 E Dempster St
3Rd Floor
Des Plaines, IL 60016-4839
Phone
(773) 572-8300
NPI assigned
Mar 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Patricia Kohn
Title
Chief Operating Officer
Phone
(773) 572-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2380 E Dempster St
3Rd Floor
Des Plaines, IL 60016-4839

Mailing address

2380 E Dempster St
3Rd Floor
Des Plaines, IL 60016-4839
Phone (773) 572-8300

National Provider Directory

National Provider Directory
Tax ID family
Resurrection Health Care Preferred5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1477895480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 E DEMPSTER ST",
            "address_2": "3RD FLOOR",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164839",
            "telephone_number": "773-572-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 E DEMPSTER ST",
            "address_2": "3RD FLOOR",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164839",
            "telephone_number": "773-572-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION HEALTH CARE PREFERRED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "773-572-8300"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.