NPIMap

Organization Active NPI

Resurrection Medical Center - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1811735228
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
RESURRECTION MEDICAL CENTER - CHICAGO LLC
Practice address
7435 W Talcott Ave
Chicago, IL 60631-3707
Phone
(773) 792-5253
NPI assigned
Jul 18, 2024
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Christopher Doan
Title
Managing Associate General Counsel
Phone
(310) 259-4706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

7435 W Talcott Ave
Chicago, IL 60631-3707

Mailing address

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 792-5253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250324000049 IL Part A Provider - Hospital 6103348883 Practice locations: Chicago, IL; Schaumburg, IL; Plainfield, IL; Park Ridge, IL; Lake Zurich, IL; Hoffman Estates, IL; Hanover Park, IL; Des Plaines, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811735228. Details of each certification follow.

Hospital certification: CCN 140117

Legal name
RESURRECTION MEDICAL CENTER - CHICAGO LLC
Doing business as
RESURRECTION MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 5, 2006
Beds
443
Ownership / control type
Church
Most recent change of ownership
Mar 1, 2025 (3 total)
Organization structure
LLCProprietary
Enrollment address
7435 W Talcott Ave
Chicago, IL 60631-3707
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Amita Health Resurrection Medical CenterCCN 140117 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Resurrection Medical Center - Chicago LLC5 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.

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Prime Healthcare Services, Inc Organization, Ontario, CA Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 20, 2024 100%
Steven Aleman Individual Corporate OfficerChief Financial Officer Mar 20, 2024
Corporate DirectorDirector Mar 20, 2024
W-2 Managing EmployeeChief Financial Officer Mar 20, 2024
Christopher Doan Individual Corporate OfficerManaging Associate General Counsel Mar 30, 2024
W-2 Managing EmployeeManaging Associate General Counsel Mar 20, 2024
Prime Healthcare Holdings Inc Organization, Ontario, CA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 20, 2024 100%

Facilities with the same owner 77

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 77

Practitioners & affiliated clinicians

Affiliated clinicians 554

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 554

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1811735228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7435 W TALCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313707",
            "telephone_number": "773-792-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 W TALCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313707",
            "telephone_number": "773-792-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION MEDICAL CENTER - CHICAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING ASSOCIATE GENERAL COUNSEL",
        "authorized_official_telephone_number": "310-259-4706"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.