RESURRECTION SERVICES (NPI# 1891067666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891067666 |
| Entity Type | Organization |
| Organization Name | RESURRECTION SERVICES |
| Other Organization Name | RESURRECTION MEDICAL GROUP |
| Practice Address |
2740 W Foster Ave Suite 113 Chicago IL 60625-3500 |
| Mailing Address |
62311 Collection Center Dr Chicago IL 60693-0623 |
| Practice Telephone | 7737690575 |
| Practice Fax Number | 7737693160 |
| Mailing Telephone | 8002732614 |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |
| Authorized Official Name | DANIEL MCCORMICK (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 7085836817 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Resurrection Medical Group | Other Name - Individual/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 |
2740 W FOSTER AVE SUITE 113 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926573 | Ashwin M Shah, Md, Sc | Surgery | 2740 W Foster Ave, Chicago, IL 60625-3500 | 2005-07-19 |
| 1194279463 | Kirschenbaum Dermatology LLC | Dermatology | 2740 W Foster Ave, Suite# 305, Chicago, IL 60625-3510 | 2016-08-04 |
| 1831544378 | Lutheran Social Services of Il | Counselor | 2740 W Foster Ave, Ste 103, Chicago, IL 60625-3500 | 2016-05-03 |
| 1427422625 | Sahned Jaafar | Surgery | 2740 W Foster Ave, Ll7, Chicago, IL 60625 | 2015-11-25 |
| 1003289356 | Sofia Carleen Jimenez | Psychologist | 2740 W Foster Ave, Suite 412, Chicago, IL 60625-3500 | 2015-11-09 |
| 1174903512 | Independent Physicians' Aco of Chicago, LLC | Internal Medicine | 2740 W Foster Ave, Suite 116, Chicago, IL 60625-3500 | 2015-06-01 |
| 1205273190 | Hilary Bayley Brown | Social Worker | 2740 W Foster Ave, Ste 412, Chicago, IL 60625-3500 | 2013-05-31 |
| 1215223581 | Nina Patel | Internal Medicine | 2740 W Foster Ave, Ste 401, Chicago, IL 60625-3591 | 2011-06-24 |
| 1073819165 | Federer Surgical Services Ltd | Surgery | 2740 W Foster Ave, Suite 213, Chicago, IL 60625-3500 | 2011-02-07 |
| 1760792824 | Basheer Farooki, Md.sc | Internal Medicine | 2740 W Foster Ave, Suite 415, Chicago, IL 60625-3500 | 2010-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1952809451 | Josie M Abogast | General Practice | 3219 N. Clark St., Chicago, IL 60657 | 2018-01-30 |
| 1043759939 | Royalty Intervention Group Inc | General Practice | 10307 S Peoria St, Suite 100, Chicago, IL 60643-3007 | 2017-02-13 |
| 1215482567 | David John De Jong | General Practice | 226 W Willow St, Chicago, IL 60614-5716 | 2016-08-16 |
| 1720474885 | Healthwise Medical Clinic LLC | General Practice | 8349 S Baltimore Ave, Chicago, IL 60617-2110 | 2015-04-15 |
| 1578952321 | Joseph Lawrence Mcdevitt | General Practice | 2650 N Orchard St Apt 2f, Chicago, IL 60614-1576 | 2015-01-16 |
| 1548662851 | Healthjoy | General Practice | 208 W Huron St, Chicago, IL 60654-3913 | 2014-09-17 |
| 1629478359 | Alivio Medical Center | General Practice | 1450-1510 W. Cermak Road, Chicago, IL 60608 | 2014-08-29 |
| 1699193409 | Kenya R Thomas | General Practice | 1133 E 83rd St Unit 108, Chicago, IL 60619-6464 | 2014-03-31 |
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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.