RESURRECTION SERVICES (NPI# 1861785123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861785123 |
| Entity Type | Organization |
| Organization Name | RESURRECTION SERVICES |
| Other Organization Name | VIKING GROUP |
| Practice Address |
3500 W Peterson Ave Suite 300 Chicago IL 60659-3306 |
| Mailing Address |
Po Box 564437 Chicago IL 60656-4437 |
| Practice Telephone | 7739613200 |
| Practice Fax Number | 7738676793 |
| Mailing Telephone | 7085837310 |
| Mailing Fax Number | 7085839870 |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2012-04-09 |
| Authorized Official Name | DANIEL MCCORMICK (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7085836817 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036101307 | IL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036047714 | IL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 036079521 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036079521 | 05 | |
| IL | 036101307 | 05 | |
| IL | 036047714 | 05 | |
| IL | MEDICARE PTAN | 745367 | 01 |
| Other Name | Type Code |
|---|---|
| Viking Group | 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 |
3500 W PETERSON AVE SUITE 300 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980964 | Jennifer K Bulmann | Optometrist | 3500 W Peterson Ave, Ste 401, Chicago, IL 60659-3306 | 2005-08-24 |
| 1568647220 | Charles S Ovitsky P C | Optometrist | 3500 W Peterson Ave, Suite 401, Chicago, IL 60659-3306 | 2007-12-31 |
| 1144419847 | Julie Bruce | Optometrist | 3500 W Peterson Ave, Suite 401, Chicago, IL 60659-3306 | 2007-10-18 |
| 1154481182 | Howard L Blivaiss Dds and Associates PC | Clinic/Center | 3500 W Peterson Ave, Suite 200, Chicago, IL 60659-3306 | 2006-12-11 |
| 1922168954 | Howard L Blivaiss | Dentist | 3500 W Peterson Ave, Suite 200, Chicago, IL 60659-3306 | 2006-12-11 |
| 1982777306 | Lawrence M Magee | Optometrist | 3500 W Peterson Ave, Ste 401, Chicago, IL 60659 | 2006-11-15 |
| 1720151152 | Ralph John Gebert | Optometrist | 3500 W Peterson Ave, Ste 401, Chicago, IL 60659 | 2006-11-15 |
| 1558313189 | Charles S Ovitsky | Optometrist | 3500 W Peterson Ave, Suite 401, Chicago, IL 60659-3306 | 2006-05-16 |
| 1821049693 | Charles Ovitsky | Optometrist | 3500 W Peterson Ave, Suite 401, Chicago, IL 60659-3306 | 2006-05-15 |
| 1912976044 | Marianna Bilis | Optometrist | 3500 W Peterson Ave, Suite 401, Chicago, IL 60659-3306 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| 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.