Resurrection Medical Center - Chicago LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054.019888 Issued in IL

Legal business name

RESURRECTION MEDICAL CENTER - CHICAGO LLC

Doing business as

Prime Healthcare Rx 1003

Practice address

7447 W Talcott Ave
Chicago, IL 60631-3760

Phone

(773) 792-5030

Fax

(773) 594-7841

NPI assigned

Jul 22, 2006

Last updated

Apr 16, 2025By 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

Christopher Doan

Title

Managing Associate General Counsel

Phone

(909) 235-4307

Specialties & licenses 2

Addresses

Other names 1

• Prime Healthcare Rx 1003 Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Resurrection Medical Center - Chicago LLC

  • Home Infusion Therapy Pharmacy
  • Chicago, IL
  • NPI 1679386437

  O20250618000243

  Same enrollment

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.

• Resurrection Medical Center - Chicago LLC

  dba Prime Healthcare Rx 1003

  • Community/Retail Pharmacy
  • Chicago, IL
  • NPI 1386438554
  NPD tax ID
• Resurrection Medical Center - Chicago LLC

  dba Prime Healthcare Home Infusion Pharmacy

  • Home Infusion Therapy Pharmacy
  • Chicago, IL
  • NPI 1538823539
  NPD tax ID
• Resurrection Medical Center - Chicago LLC

  dba Resurrection Medical Center

  • Rehabilitation Hospital Unit
  • Chicago, IL
  • NPI 1700695566
  NPD tax ID
• Resurrection Medical Center - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811735228
  NPD tax ID

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1871514836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313760",
            "telephone_number": "773-792-5030",
            "fax_number": "773-594-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313760",
            "telephone_number": "773-792-5030",
            "fax_number": "773-594-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION MEDICAL CENTER - CHICAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "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": "909-235-4307"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.019888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Healthcare Rx 1003",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Resurrection Medical Center - Chicago LLC (Prime Healthcare Rx 1003)
• Resurrection Medical Center - Chicago LLC (Prime Healthcare Home Infusion Pharmacy)
• Resurrection Medical Center - Chicago LLC
• Resurrection Medical Center - Chicago LLC (Resurrection Medical Center)
• Resurrection Medical Center - Chicago LLC
• Resurrection Medical Centre
• Resurrection Physicians Provider Group
• Resurrection Services
• Resurrection Services (Rokeya Begum-Akhtar MD)
• Resurrection Services (Derek R Olson DO)

• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.