RESURRECTION (NPI# 1639332398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639332398 |
| Entity Type | Organization |
| Organization Name | RESURRECTION |
| Practice Address |
355 Ridge Ave St Francis Hospital Evanston IL 60202-3328 |
| Mailing Address |
311 Ridge Ave Apt 1 Evanston IL 60202-3342 |
| Practice Telephone | 8473164000 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2009-01-09 |
| Authorized Official Name | DR. SRIDHAR VENKATACHALAM (RESIDENT PHYSICIAN) |
| Authorized Official Telephone | 8473164000 |
| Authorized Official Credential | M.D., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Resurrection | 8728 Flower Ct., Arvada, CO 80005 |
| Indiana Business Entities | RESURRECTION ALLEY LLC | 812 Old Wheatland Road, Vincennes, IN 47591 |
| Colorado Business Entities | RESURRECTION ANGLICAN FELLOWSHIP | 9250 E. Belleview Ave, Greenwood Village, CO 80111 |
| Washington State Corporations | RESURRECTION APOSTOLIC INTERNATIONAL NETWORK, INC. | 4002 W Broad Ave, Spokane, WA 99205 |
| Washington State Corporations | RESURRECTION ART, L.L.C. | 427 Bellevue Ave, Shelton, WA 98584 |
| New York State Corporations | RESURRECTION ASCENSION CHURCH AND SCHOOL TRUST, INC. | 61-11 85th Street, Rego Park, New York 11374 |
| New York State Corporations | RESURRECTION AUTO DETAILING LLC | 214 Commonwealth Ave, Upper, Buffalo, Ny 14216 |
| Indiana Business Entities | RESURRECTION AUTO INC. | 13217 Highway 31 East, Memphis, IN 47143 |
| Colorado Business Entities | Resurrection Auto, LLC | 17072 Highway 82, Carbondale, CO 81623 |
| Washington State Corporations | RESURRECTION AUTOMOTIVE ENTERPRISES LLC | 26810 N Regal Lane, Chattaroy, WA 99003 |
| Street Address |
355 RIDGE AVE ST FRANCIS HOSPITAL |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380820 | James Douglas Glass | Anesthesiology | 355 Ridge Ave, Evanston, IL 60202-3328 | 2005-07-20 |
| 1710588496 | Paritosh Prasai | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-11-08 |
| 1750989653 | Emre Can Ozcekirdek | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-10-13 |
| 1689288664 | Bidhya Poudel | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-07 |
| 1578177614 | Pankaj Luitel | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3399 | 2020-09-05 |
| 1184238289 | Qishuo Zhang | Internal Medicine | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-04 |
| 1184238297 | Kritika Yadav | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-04 |
| 1205440427 | Bimatshu Pyakuryal | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3399 | 2020-09-04 |
| 1689288904 | Arjab Adhikari | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-03 |
| 1205449014 | Rameej Revanta Thapa | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134429640 | St.francis Hospital | General Acute Care Hospital | 338 Custer Ave, Apt# 2, Evanston, IL 60202-3432 | 2010-10-31 |
| 1780906347 | Mary Denise Denholm | General Acute Care Hospital | 1000 Central St Ste 101, Evanston, IL 60201-1780 | 2010-02-24 |
| 1194977827 | Susannah Jensen | General Acute Care Hospital | 2650 Ridge Ave Ste 5303, Evanston, IL 60201-1718 | 2008-10-13 |
| 1639140015 | Evanston Hospital Corporation | General Acute Care Hospital | 190 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-02-01 |
| 1700170958 | Northshore Healthcare System | General Acute Care Hospital | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2011-06-06 |
| 1255668448 | St. Francis Hospital | General Acute Care Hospital | 355 Ridge Ave, Evanston, IL 60202-3328 | 2009-11-09 |
| 1316177413 | Northshore University Healthsystem | General Acute Care Hospital | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2009-07-23 |
| 1083853766 | St. Francis Hospital Ob/gyn Program | General Acute Care Hospital | 355 Ridge Ave, Evanston, IL 60202 | 2009-02-19 |
| 1619143997 | Glenbrook Hospital | General Acute Care Hospital | 2650 Ridge Ave, Room 1223, Evanston, IL 60201-1718 | 2008-05-06 |
| 1265600886 | Evanston Northwestern Hospital | General Acute Care Hospital | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2008-02-17 |
| Find all providers in EVANSTON | ||||
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| 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.