Resurrection Services

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RESURRECTION SERVICES

Practice address

619 South 25TH Avenue
Bellwood, IL 60104

Phone

(708) 547-7951

Fax

(708) 547-8192

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Leonard Dedic

Title

Vice President

Phone

(708) 583-6818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MODUPE A OLADEINDE MD Doing business as

Member of 1

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

• Presence Chicago Hospitals Network

  • Psychiatric Hospital Unit
  • Chicago, IL
  • NPI 1194404251

  Member Of

  NPD member

Locations

Practitioners 1

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

• Modupe Oladeinde, MD

  • Family Medicine Physician
  • Bellwood, IL
  • NPI 1437103512
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1851455588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 SOUTH 25TH AVENUE",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "60104",
            "telephone_number": "708-547-7951",
            "fax_number": "708-547-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 SOUTH 25TH AVENUE",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "60104",
            "telephone_number": "708-547-7951",
            "fax_number": "708-547-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "DEDIC",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "708-583-6818"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "214635",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODUPE A OLADEINDE MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Pinilla, M.D.
• Premo Medical Supply Inc
• Proviso Public Partnership
• Brenda Ramirez
• Resilient House
• Rmorris LLC
• Rochelle Renea Robinson, LPN
• Lesbia Adalgisa Rodriguez-Nwankwo, M.D.
• Elis X Rodriguez, ATC
• Leslie Vidaurre Schneeberger

• Family Medicine Physician in Bellwood, IL
• Providers in Bellwood, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.