RESURRECTION HEALTH CARE (NPI# 1013285220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013285220 |
| Entity Type | Organization |
| Organization Name | RESURRECTION HEALTH CARE |
| Other Organization Name | RESURRECTION BEHAVIORAL HEALTH |
| Practice Address |
1414 Main Melrose Park IL 60160 |
| Mailing Address |
1414 Main St Melrose Park IL 60160-3902 |
| Practice Telephone | 7086810073 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |
| Authorized Official Name | MR. JOHN MYRON NETHERLY JR. (BEHAVIORAL HEALTH TECHNICAN) |
| Authorized Official Telephone | 7737595110 |
| Authorized Official Credential | MSW,MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Resurrection Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003121658 | Resurrection Health Care | Student in an Organized Health Care Education/Training Program | 2617 W Iowa St, Chicago, IL 60622-4577 | 2010-08-06 |
| 1275660623 | Resurrection Health Care | Case Management | 9845 W Roosevelt Rd, Westchester, IL 60154-2758 | 2007-02-27 |
| 1518239706 | Resurrection Health Care | Community Based Residential Treatment Facility, Mental Illness | 1414 Main St, Melrose Park, IL 60160-3902 | 2012-02-02 |
| 1245507573 | Resurrection Health Care | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2011-12-01 |
| 1548542673 | Resurrection Health Care | Rehabilitation Hospital | 1431 N Claremont Ave, 2nd Floor Pavillion, Chicago, IL 60622-1702 | 2011-09-14 |
| 1124307806 | Resurrection Health Care | General Acute Care Hospital | 5645 W Addison St, Chicago, IL 60634-4403 | 2011-08-11 |
| 1285943530 | Resurrection Health Care | Psychiatric Unit | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 2010-10-05 |
| 1073718748 | Resurrection Health Care | Clinic/Center | 1111 Superior St, #207, Melrose Park, IL 60160-4138 | 2007-06-20 |
| Street Address |
1414 MAIN |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| 1811199656 | Javier Mauricio Ramirez | Dentist | 2537 W. North Ave, Melrose Park, IL 60160 | 2007-06-04 |
| Find all providers in zip 60160 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396080289 | Healthcare Alternative Systems | Clinic/Center | 1115 N 23rd Ave, Melrose Park, IL 60160-3139 | 2012-12-03 |
| 1598912867 | Presence Behavioral Health | Clinic/Center | 170 N 23rd Ave, Melrose Park, IL 60160-3635 | 2008-08-19 |
| 1760747257 | Resurrection Behavioral Health | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2012-07-10 |
| 1083978324 | Resurrection Behavioral Health | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2012-07-02 |
| 1467720847 | Christine Case | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2011-12-13 |
| 1245507573 | Resurrection Health Care | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2011-12-01 |
| 1891079869 | Resurrection Behavioral Health | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2011-10-07 |
| 1629352695 | Resurrection Behavioral Health | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2011-10-07 |
| 1538441662 | Resurrection Behavioral Health | Clinic/Center | 1414 Main St, Melrose Park, IL 60160-3902 | 2011-09-14 |
| 1780831057 | Presence Behavioral Health | Clinic/Center | 1919 Main St, Melrose Park, IL 60160-3737 | 2008-08-19 |
| Find all providers in MELROSE PARK | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
Please comment or provide details below to improve the information on RESURRECTION HEALTH CARE.
| 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.