Organization Active NPI

Resurrection Services

Doing business as RES-Health Cardiovascular Center

  • Cardiovascular Disease Physician
  • River Forest, IL
National Provider Identifier
1790809887
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
RESURRECTION SERVICES
Doing business as
RES-Health Cardiovascular Center
Practice address
7411 West Lake Street
Suite 2110
River Forest, IL 60305-1876
Phone
(708) 763-2327
Fax
(708) 488-2380
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X IL Primary

Addresses

Primary practice location

7411 West Lake Street
Suite 2110
River Forest, IL 60305-1876

Mailing address

15330 S la Grange Rd
Suite 203
Orland Park, IL 60462-3885
Phone (708) 675-8160

Other identifiers 2

IdentifierTypeStateIssuer
140049OtherILMEDICARE GROUP NUMBER
1619414OtherBCBS GRP

Other names 1

  • RES-Health Cardiovascular Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1790809887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15330 S LA GRANGE RD",
            "address_2": "SUITE 203",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623885",
            "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": "7411 WEST LAKE STREET",
            "address_2": "SUITE 2110",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051876",
            "telephone_number": "708-763-2327",
            "fax_number": "708-488-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2009-10-29",
        "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": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "140049",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP",
            "identifier": "1619414",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RES-Health Cardiovascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in River Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.