Resurrection Physicians Provider Group

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

RESURRECTION PHYSICIANS PROVIDER GROUP

Practice address

5860 W Higgins Ave
Chicago, IL 60630-2372

Phone

(773) 695-4800

Fax

(773) 864-9416

NPI assigned

Oct 17, 2006

Last updated

Apr 1, 2010By 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

Ms. Dara C. Ellingson

Title

Chief Operating Officer

Phone

(773) 527-5210

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1740361021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302372",
            "telephone_number": "773-695-4800",
            "fax_number": "773-864-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302372",
            "telephone_number": "773-695-4800",
            "fax_number": "773-864-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION PHYSICIANS PROVIDER GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "ELLINGSON",
        "authorized_official_first_name": "DARA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "773-527-5210",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resurrection Medical Center - Chicago LLC
• Resurrection Medical Center - Chicago LLC (Resurrection Medical Center)
• Resurrection Medical Center - Chicago LLC
• Resurrection Medical Center - Chicago LLC (Prime Healthcare Rx 1003)
• Resurrection Medical Centre
• Resurrection Services
• Resurrection Services (Rokeya Begum-Akhtar MD)
• Resurrection Services (Derek R Olson DO)
• Resurrection Services (Resurrection Ambulatory Care Services)
• Resurrection Services (Resurrection Medical Group)

• Health Maintenance Organization in Chicago, IL
• Providers in Chicago, IL by specialty
• Health Maintenance Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.