NPIMap

Organization Active NPI

Resurrection Services

  • Internal Medicine Physician
  • Wilmette, IL
National Provider Identifier
1710259577
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RESURRECTION SERVICES
Practice address
1625 Sheridan Rd
Suite F
Wilmette, IL 60091-1824
Phone
(847) 251-1500
Fax
(847) 251-2191
NPI assigned
Feb 8, 2012
Last updated
Feb 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Daniel McCormick
Title
Senior Vice President
Phone
(708) 583-6817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1625 Sheridan Rd
Suite F
Wilmette, IL 60091-1824

Mailing address

62311 Collection Center Dr
Chicago, IL 60693-0623
Phone (800) 273-2614

Other names 1

  • RESURRECTION MEDICAL GROUP Other name

National Provider Directory

National Provider Directory
Tax ID family
Family Practice Associa24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

1625 Sheridan Rd
Ste F
Wilmette, IL 60091
Phone (708) 256-2292

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1710259577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62311 COLLECTION CENTER DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606930623",
            "telephone_number": "800-273-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SHERIDAN RD",
            "address_2": "SUITE F",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911824",
            "telephone_number": "847-251-1500",
            "fax_number": "847-251-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "708-583-6817"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RESURRECTION MEDICAL GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.