Resurrection Services

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036108044 Issued in IL

Legal business name

RESURRECTION SERVICES

Doing business as

Norridge Family Practice

Practice address

7830 W Lawrence Ave
Norridge, IL 60706-3267

Phone

(708) 457-8083

Fax

(708) 457-8172

NPI assigned

Jun 21, 2007

Last updated

Jul 22, 2009By 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

Leonard Dedic

Title

Vice President

Phone

(708) 583-6818

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• NORRIDGE FAMILY PRACTICE Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julia L Bielat, M.D.

  • Family Medicine Physician
  • Aurora, IL
  • NPI 1477689081
  NPD (past)
• Evangelos Biscotakis, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1487835138
  NPD (past)
• Mary Kathryn Peterson, D.O.

  • Family Medicine Physician
  • Skokie, IL
  • NPI 1356508675
  NPD (past)
• Florence Huang, M.D.

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1497926562
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1578769212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 W LAWRENCE AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607063267",
            "telephone_number": "708-457-8083",
            "fax_number": "708-457-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 W LAWRENCE AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607063267",
            "telephone_number": "708-457-8083",
            "fax_number": "708-457-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "DEDIC",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "708-583-6818"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036108044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "215846",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "036119065",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036121820",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GROUP",
            "identifier": "01637820",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "036121594",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORRIDGE FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Prokop, CCC-SLP
• Katarzyna Pszczola
• Leonard M. Randazzo, O.D.
• Christine Remoquillo, PT
• Resurrection Services (Resurrection Primary Care)
• Resurrection Services (Resurrection Immediate Care Center Norridge)
• Resurrection Westlake Hospital
• Ridgewood High School District 234
• Lori E Risner, OT
• Emily Roberson, DC

• Family Medicine Physician in Norridge, IL
• Providers in Norridge, 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 Jul 22, 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.