NPIMap

Organization Active NPI

Resurrection Ambulatory Services

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1588991368
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RESURRECTION AMBULATORY SERVICES
Doing business as
Resurrection Ambulatory Services
Practice address
2433 N Harlem Ave
Suite 100
Chicago, IL 60707-2031
Phone
(773) 889-6355
Fax
(773) 355-2815
NPI assigned
Nov 16, 2009
Last updated
Mar 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Clinic/Center 261Q00000X Primary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
Multi-Specialty Clinic/Center 261QM1300X
Radiology Clinic/Center 261QR0200X
Mammography Clinic/Center 261QR0206X
Cardiac Rehabilitation Clinic/Center 261QR0404X

Addresses

Primary practice location

2433 N Harlem Ave
Suite 100
Chicago, IL 60707-2031

Mailing address

PO Box 6670
River Forest, IL 60305-6670
Phone (708) 675-8160

Other names 1

  • Resurrection Ambulatory Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Presence Ambulatory Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

2433 N Harlem Ave
Ste 100
Chicago, IL 60707
Phone (773) 889-6355

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1588991368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6670",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603056670",
            "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": "2433 N HARLEM AVE",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607072031",
            "telephone_number": "773-889-6355",
            "fax_number": "773-355-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION AMBULATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2010-03-15",
        "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": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resurrection Ambulatory Services",
            "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 Mar 15, 2010; 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.