Resurrection Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RESURRECTION SERVICES

Doing business as

RAYMOND MCDONALD, MD

Practice address

1111 Superior St
Ste 307
Melrose Park, IL 60160-4138

Phone

(708) 343-0079

Fax

(708) 343-2488

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Len Dedic

Title

Vice President

Phone

(708) 583-6818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RAYMOND MCDONALD, MD Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond J McDonald, MD

  • Internal Medicine Physician
  • River Forest, IL
  • NPI 1942203500
  NPD (past)
• Forrest James Robinson, DO

  • Family Medicine Physician
  • Oak Park, IL
  • NPI 1740283803

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1730282773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "STE 307",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604138",
            "telephone_number": "708-343-0079",
            "fax_number": "708-343-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SUPERIOR ST",
            "address_2": "STE 307",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604138",
            "telephone_number": "708-343-0079",
            "fax_number": "708-343-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "DEDIC",
        "authorized_official_first_name": "LEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "708-583-6818"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "999100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAYMOND MCDONALD, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Resurrection Health Care
• Resurrection Health Care
• Resurrection Health Care
• Resurrection Healthcare
• Resurrection Services
• Resurrection Westlake Hospital
• Reya Rehab LLC
• Reynaldo M. Caluag MD SC
• Rheumatology Specialist PC
• Richard D. Shin, M.D., S.C.

• Internal Medicine Physician in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.