RESURRECTION SERVICES (NPI# 1659650414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659650414 |
| Entity Type | Organization |
| Organization Name | RESURRECTION SERVICES |
| Other Organization Name | RMG LITTLE VILLAGE PRIMARY CARE |
| Practice Address |
3814 W 26th St Chicago IL 60623-3807 |
| Mailing Address |
Po Box 564437 Chicago IL 60656-4437 |
| Practice Telephone | 7735225200 |
| Practice Fax Number | 7735225356 |
| Mailing Telephone | 7085837310 |
| Mailing Fax Number | 7085839870 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |
| Authorized Official Name | DANIEL MC CORMICK (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 7085836817 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | 745367 | 01 |
| Other Name | Type Code |
|---|---|
| RMG LITTLE VILLAGE PRIMARY CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326277005 | Resurrection Services | Internal Medicine | 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 | 2009-07-02 |
| 1922121599 | Resurrection Services | Clinic/Center | 4900 Cumberland, Resurrection Immediate Care Center Norridge, Norridge, IL 60706-2916 | 2007-04-09 |
| 1386767937 | Resurrection Services | Clinic/Center | 3101 N Harlem Ave, Resurrection Open Mri Imaging Center, Chicago, IL 60634-4532 | 2007-04-09 |
| 1124141569 | Resurrection Services | Clinic/Center | Workplus Occupational Health Des Plaines, 100 N. River Road, Des Plaines, IL 60016-1209 | 2007-04-09 |
| 1295869071 | Resurrection Services | Clinic/Center | 420 William Street, 2nd Floor, River Forest, IL 60305-1920 | 2007-03-15 |
| 1487735510 | Resurrection Services | Family Medicine | 2246 W. Chicago Avenue, Chicago, IL 60622 | 2006-10-17 |
| 1124135181 | Resurrection Services | Family Medicine | 10015 Grand Ave, Franklin Park, IL 60131-2546 | 2006-08-24 |
| 1205943107 | Resurrection Services | Internal Medicine | 5113 N Clark St, Chicago, IL 60640-2807 | 2006-08-24 |
| 1811004708 | Resurrection Services | Family Medicine | 2310 W Touhy Avenue, Chicago, IL 60645 | 2006-08-24 |
| 1730296641 | Resurrection Services | Family Medicine | 9855 W Roosevelt Rd, Westchester, IL 60154-2758 | 2006-08-24 |
| Street Address |
3814 W 26TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053518720 | 26th Street Medical, S.c. | Specialist | 3814 W 26th St, Chicago, IL 60623-3807 | 2007-06-27 |
| 1497737837 | Alberto Silva | Obstetrics & Gynecology | 3814 W 26th St, Chicago, IL 60623-3807 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| Find all providers in zip 60623 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1871119172 | Irina Komissarova | Internal Medicine | 916 S Oakley Blvd, Chicago, IL 60612-4230 | 2020-06-22 |
| 1336760719 | Arslan Zahid | Internal Medicine | 5847 S Maryland Ave, Chicago, IL 60637-1463 | 2020-04-27 |
| 1104447572 | Nirmal Desai | Internal Medicine | 5841 S Maryland Ave., M/c 7082, Chicago, IL 60637-1443 | 2020-04-27 |
| 1467072447 | Justin Edmond Sipiora | Internal Medicine | 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 | 2020-04-20 |
| 1003449612 | Eoht LLC | Internal Medicine | 1718 W North Shore Ave Apt 11, Chicago, IL 60626-4030 | 2020-02-21 |
| Find all providers in CHICAGO | ||||
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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.