Organization Active NPI

Resurrection Services

Doing business as Sunitha Nair MD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1922115880
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RESURRECTION SERVICES
Doing business as
Sunitha Nair MD
Practice address
3034 W Devon Ave
Chicago, IL 60659-1455
Phone
(773) 764-7710
Fax
(773) 764-7735
NPI assigned
Aug 24, 2006
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Len Dedic
Title
Vice President
Phone
(708) 583-6818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

3034 W Devon Ave
Chicago, IL 60659-1455

Mailing address

3034 W Devon Ave
Chicago, IL 60659-1455
Phone (773) 764-7710

Other identifiers 1

IdentifierTypeStateIssuer
01635337MedicaidIL

Other names 1

  • SUNITHA NAIR MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1922115880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591455",
            "telephone_number": "773-764-7710",
            "fax_number": "773-764-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591455",
            "telephone_number": "773-764-7710",
            "fax_number": "773-764-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "DEDIC",
        "authorized_official_first_name": "LEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "708-583-6818"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01635337",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNITHA NAIR MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.