OUR LADY OF THE RESURRECTION MEDICAL CENTER


Address: 5645 W Addison St, Chicago, IL 60634-4403
Phone: 7737748000

OUR LADY OF THE RESURRECTION MEDICAL CENTER (NPI# 1306845763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306845763
Entity Type Organization
Organization Name OUR LADY OF THE RESURRECTION MEDICAL CENTER
Other Organization Name ADDISON EMERGENCY PHYSICIANS
Practice Address 5645 W Addison St
Chicago
IL 60634-4403
Mailing Address 520 E 22nd St
Lombard
IL 60148-6110
Practice Telephone 7737748000
Mailing Telephone 6308742542
Enumeration Date 2005-07-19
Last Update Date 2007-11-26
Authorized Official Name MICHAEL S ROSENBERG (CHAIRMAN)
Authorized Official Telephone 7737748000
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name OUR LADY OF THE RESURRECTION MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Addison Emergency Physicians Doing Business As Name - Organization

Office Location

Street Address 5645 W ADDISON ST
City CHICAGO
State IL
Zip Code 60634-4403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740809797 Nicholas Donald Charmelo Registered Nurse 5645 W Addison St, Chicago, IL 60634-2881 2020-04-09
1528695814 Ana Bulaja Physician Assistant 5645 W Addison St, Chicago, IL 60634-2881 2020-03-25
1669008702 Jeremy Blauser Physician Assistant 5645 W Addison St, Chicago, IL 60634-4403 2020-03-20
1598306870 Sss Pathology Services Pllc Pathology 5645 W Addison St, Chicago, IL 60634-4403 2019-10-08
1639737851 Akhter U Patel Nurse Practitioner 5645 W Addison St, Chicago, IL 60634-4403 2019-06-03
1457916124 Jaclyn Novak Physician Assistant 5645 W Addison St, Chicago, IL 60634-4403 2019-05-07
1962977421 Ashley Fisher Dietitian, Registered 5645 W Addison St, Chicago, IL 60634-4403 2018-10-10
1093211153 Brandee Joy Grenda Dietitian, Registered 5645 W Addison St, Chicago, IL 60634-4403 2018-04-05
1639687825 Amy M Boettcher Nurse Anesthetist, Certified Registered 5645 W Addison St, Chicago, IL 60634-4403 2018-01-22
1215464409 Karlee Elizabeth Pinto Dietitian, Registered 5645 W Addison St, Chicago, IL 60634-4403 2017-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356987333 Alejandra Carrera Student in an Organized Health Care Education/Training Program 6417 W Irving Park Rd., Chicago, IL 60634 2019-11-25
1861977456 Virtue Counseling Center Counselor 2904 N Parkside, Chicago, IL 60634 2018-09-28
1770931255 Dynamic Transport Solutions LLC Non-emergency Medical Transport (VAN) 6109 W. Barry, Chicago, IL 60634 2016-05-25
1104284710 Ez Dental Dental Laboratory 5621 W.montrose Avenue, Chicago, IL 60634 2016-02-10
1285075432 Chicago Medical Transportation Non-emergency Medical Transport (VAN) 3033 N. Nordica Ave., Chicago, IL 60634 2013-07-16
1083985725 Maria C. Rodriguez Lactation Consultant, Non-RN 6216 W. School St., Chicago, IL 60634 2012-01-25
1295066827 Angie Harris Occupational Therapist 3339 N. Octavia, Chicago, IL 60634 2010-01-21
1205169802 Belmont Dental P.C. Dentist 5611 W. Belmont Ave., Chicago, IL 60634 2009-09-14
1568605178 Henry Biskup Radiologic Technologist 3105 N. Austin Ave., Chicago, IL 60634 2009-04-13
1306086624 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 3615 N. Central Ave, Chicago, IL 60634 2009-02-26
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811503394 Susan Lochhead Emergency Medicine 1930 N Fremont St, Chicago, IL 60614-5017 2020-09-19
1851900344 Cepamerica Illinois PC Emergency Medicine 2112 S Michigan Ave, Chicago, IL 60616-1704 2020-07-30
1538622287 Brandon Fen Chang Emergency Medicine 820 S Wood St Ste 100, Chicago, IL 60612-4325 2019-04-10
1053872630 Oretunlewa Soyinka Emergency Medicine 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 2019-03-27
1457818098 Innovative Iv Care, Pllc Emergency Medicine 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 2019-03-01
1013414077 Lauran Wirfs Emergency Medicine 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 2018-04-06
1518461987 David Bennett Feiger Emergency Medicine 211 E Huron St, Suite 200, Chicago, IL 60611-3055 2018-03-21
1639699127 Eugene David Hill Emergency Medicine 1623 N Rockwell St, Chicago, IL 60647-5217 2017-06-26
1740719905 Courtney Hutchins Emergency Medicine 5841 S. Maryland Avenue Mc1052, J-141, Chicago, ID 60637 2017-06-09
1417305137 Christopher Louis Scodeller Emergency Medicine 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 2016-06-03
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Competitor

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City CHICAGO
Zip Code 60634

Improve Information

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Dataset Information

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.

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