NPIMap

Organization Active NPI

Resurrection Health Care Preferred

  • Health Maintenance Organization
  • Chicago, IL
National Provider Identifier
1750414850
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
RESURRECTION HEALTH CARE PREFERRED
Practice address
1021 W Adams St
Suite 300
Chicago, IL 60607-2934
Phone
(773) 572-8300
Fax
(312) 455-9485
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Ms. Elizabeth Stackpole Koch
Title
System Director, Physician MGD Care
Phone
(773) 572-8331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1021 W Adams St
Suite 300
Chicago, IL 60607-2934

Mailing address

1021 W Adams St
Suite 300
Chicago, IL 60607-2934
Phone (773) 572-8300

Other names 1

  • Saints Mary and Elizabeth Health Preferred Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Resurrection Health Care Preferred5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1021 W Adams St
Ste 300
Chicago, IL 60607
Phone (773) 572-8300

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1750414850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W ADAMS ST",
            "address_2": "SUITE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072934",
            "telephone_number": "773-572-8300",
            "fax_number": "312-455-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W ADAMS ST",
            "address_2": "SUITE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072934",
            "telephone_number": "773-572-8300",
            "fax_number": "312-455-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION HEALTH CARE PREFERRED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "STACKPOLE",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR, PHYSICIAN MGD CARE",
        "authorized_official_telephone_number": "773-572-8331",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saints Mary and Elizabeth Health Preferred",
            "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 Aug 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.