Resurrection Services

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

RESURRECTION SERVICES

Doing business as

Resurrection Immediate Care Center Elmwood Park

Practice address

7230 W North Ave
Ste 106B Resurrection Immediate Care Center Elmwood Par
Elmwood Park, IL 60707-4262

Phone

(708) 453-3000

Fax

(708) 453-4460

NPI assigned

May 26, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Resurrection Immediate Care Center Elmwood Park Doing business as

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1902852460",
    "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": "7230 W NORTH AVE",
            "address_2": "STE 106B RESURRECTION IMMEDIATE CARE CENTER ELMWOOD PAR",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074262",
            "telephone_number": "708-453-3000",
            "fax_number": "708-453-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "GRP 1619414",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resurrection Immediate Care Center Elmwood Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shontel Marlena Ray, AGPCNP
• Rci (WRS), LLC. (RUSH Physical Therapy)
• Karen Elaine Ream, LCSW
• Leo V Remoquillo, PTA
• Resurrection Services (WorkPlus Occupational Health Elmwood Park)
• Blerim Rexhepi
• Julia C Reyes, LCPC
• April Victoria Riehl
• Tasia Rogers
• Darius BJ Rudd

• Multi-Specialty Clinic/Center in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• 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.