RESURRECTION AMBULATORY SERVICES (NPI# 1033446810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033446810 |
Entity Type | Organization |
Organization Name | RESURRECTION AMBULATORY SERVICES |
Other Organization Name | RES-HEALTH BREAST CARE CENTER |
Practice Address |
420 William St 2nd Floor River Forest IL 60305-1920 |
Mailing Address |
15330 S La Grange Rd Suite 203 Orland Park IL 60462-3885 |
Practice Telephone | 7087634727 |
Practice Fax Number | 7087632781 |
Mailing Telephone | 7086758160 |
Mailing Fax Number | 7083647474 |
Enumeration Date | 2009-11-16 |
Last Update Date | 2010-03-15 |
Authorized Official Name | DEAN M. HOBSON (SYSTEM DIRECTOR) |
Authorized Official Telephone | 7737973603 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
RES-Health Breast Care Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588991368 | Resurrection Ambulatory Services | Clinic/Center | 2433 N Harlem Ave, Suite 100, Chicago, IL 60707-2031 | 2009-11-16 |
1427385202 | Resurrection Ambulatory Services | Internal Medicine | 7411 Lake St, Suite 2110, River Forest, IL 60305-1876 | 2009-11-16 |
1760719546 | Resurrection Ambulatory Services | Clinic/Center | 420 William St, 1st Floor, River Forest, IL 60305-1920 | 2009-11-16 |
Street Address |
420 WILLIAM ST 2ND FLOOR |
City | RIVER FOREST |
State | IL |
Zip Code | 60305-1920 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518097567 | West Suburban Medical Center | Radiology | 420 William St, Bone Density At Fpc, River Forest, IL 60305-1920 | 2007-03-07 |
1588985519 | Vhs Acquisition Subsidiary Number 4 Inc | Radiology | 420 William St, 1st Floor, River Forest, IL 60305-1920 | 2010-06-14 |
1235450388 | Vhs Acquisition Subsidiary Number 4 Inc | Radiology | 420 William St, 2nd Floor, River Forest, IL 60305-1920 | 2010-06-11 |
1760719546 | Resurrection Ambulatory Services | Clinic/Center | 420 William St, 1st Floor, River Forest, IL 60305-1920 | 2009-11-16 |
1477729507 | Patricia Lynn Russell | Internal Medicine | 420 William St, Suite 1001, River Forest, IL 60305-1920 | 2008-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063969004 | Logan N Nierzwicki | Physical Therapist | 7341 A Lake St, River Forest, IL 60305 | 2016-09-07 |
1427442292 | Gina Patel | Physical Therapist | 7341a Lake St, River Forest, IL 60305 | 2015-03-19 |
1316369630 | Kristin Burns | Social Worker | 1115 Thatcher Ave, River Forest, IL 60305 | 2014-01-07 |
1508102823 | Elizabeth Ralyea | Nurse Practitioner | 7251 W Lake Street, River Forest, IL 60305 | 2012-12-13 |
1194009175 | Mani Chhibba | Optometrist | 7345 West Lake Street, River Forest, IL 60305 | 2011-10-07 |
1508069212 | Fatima Ali Hyder | Internal Medicine | 7343 Lake St, River Forest, IL 60305 | 2007-06-08 |
1932314069 | Karen Vanslyck Darley | Dentist | 340 Lathryn Ave, River Forest, IL 60305 | 2007-05-11 |
1083836571 | Lucelita Abad Duffy | Physical Therapist | 7411 Lake Street, Rehabilitation & Sports Medicine West Suburban Resurrec, River Forest, IL 60305 | 2007-05-03 |
1457484669 | Michelle Annette Melyn | Psychiatry & Neurology | 7777 West Lake St, River Forest, IL 60305 | 2007-03-14 |
1588797757 | Marie T Walsh | Dentist | 7765 W. North Ave., River Forest, IL 60305 | 2007-03-14 |
Find all providers in zip 60305 |
Taxonomy Code | 261QR0206X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology, Mammography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295869071 | Resurrection Services | Clinic/Center | 420 William Street, 2nd Floor, River Forest, IL 60305-1920 | 2007-03-15 |
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---|---|---|---|---|
1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
1952778474 | Alton Multispecialists, Ltd. | Clinic/Center | 1 Professional Dr, Alton, IL 62002-5068 | 2015-09-01 |
1154798882 | Alton Multispecialists, Ltd. | Clinic/Center | 1 Professional Dr, Alton, IL 62002-5068 | 2015-08-28 |
1588001093 | Southernmost Illinois Community Health Improvement Corporation | Clinic/Center | 13289 Kessler Rd, Cairo, IL 62914-3101 | 2013-05-24 |
1750554960 | Simply The Breast, LLC | Clinic/Center | 500 N Maple St, Effingham, IL 62401-2005 | 2008-04-09 |
1992879126 | Ottawa Medical Center, PC | Clinic/Center | 1614 E Norris Dr, Ottawa, IL 61350-3681 | 2006-11-20 |
1598840423 | Sterling Rock Falls Clinic, Ltd | Clinic/Center | 101 E Miller Rd, Sterling, IL 61081-1252 | 2006-10-26 |
1497857593 | Belleville Imaging, Inc. | Clinic/Center | 15 Park Pl, Swansea, IL 62226-2968 | 2006-09-01 |
1245287143 | Ft. Jesse Imaging Center LLC | Clinic/Center | 2200 Fort Jesse Rd, Suite 130, Normal, IL 61761-6286 | 2006-05-27 |
City | RIVER FOREST |
Zip Code | 60305 |
Please comment or provide details below to improve the information on RESURRECTION AMBULATORY SERVICES.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.