RESURRECTION SERVICES (NPI# 1578769212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578769212 |
Entity Type | Organization |
Organization Name | RESURRECTION SERVICES |
Other Organization Name | NORRIDGE FAMILY PRACTICE |
Practice Address |
7830 W Lawrence Ave Norridge IL 60706-3267 |
Practice Telephone | 7084578083 |
Practice Fax Number | 7084578172 |
Mailing Telephone | 7084578083 |
Mailing Fax Number | 7084578172 |
Enumeration Date | 2007-06-21 |
Last Update Date | 2009-07-22 |
Authorized Official Name | LEONARD DEDIC (VICE PRESIDENT) |
Authorized Official Telephone | 7085836818 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 036108044 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICARE GROUP | 215846 | 01 |
IL | BLUE CROSS BLUE SHIELD GROUP | 01637820 | 01 |
IL | STATE LICENSURE | 036119065 | 01 |
IL | 036121820 | 05 | |
IL | STATE LICENSURE | 036121594 | 01 |
Other Name | Type Code |
---|---|
NORRIDGE FAMILY PRACTICE | 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 |
7830 W LAWRENCE AVE |
City | NORRIDGE |
State | IL |
Zip Code | 60706-3267 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932218583 | Norridge Chiropractic Clinic Ltd | Chiropractor | 7830 W Lawrence Ave, Norridge, IL 60706 | 2006-08-29 |
1699306167 | Emily Roberson | Chiropractor | 7830 W Lawrence Ave, Norridge, IL 60706-3267 | 2020-02-03 |
1821659681 | Michael Roemer | Chiropractor | 7830 W Lawrence Ave, Norridge, IL 60706-3267 | 2019-06-24 |
1386804698 | Andrea F Casali | Massage Therapist | 7830 W Lawrence Ave, Norridge, IL 60706-3267 | 2008-06-10 |
1407016959 | Catherine Ann Hickerson | Massage Therapist | 7830 W Lawrence Ave, Norridge, IL 60706-3267 | 2008-06-09 |
1194911735 | Richard V Hunn | Chiropractor | 7830 W Lawrence Ave, Norridge, IL 60706-3267 | 2007-09-18 |
1891981437 | Frank J Martusciello | Chiropractor | 7830 W Lawrence Ave, Norridge, IL 60706-3267 | 2007-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710533724 | Michael J Heider | Technician | 4875 N. Pontiac Ave, Norridge, IL 60706 | 2019-08-15 |
1295389666 | Energize Group, Inc | Social Worker | 7444 Wilson Avenue, Harwood Heights, IL 60706 | 2019-07-24 |
1215311535 | Dmitriy Epshteyn | Physical Therapy Assistant | 7001 Cullom Ave., Norridge, IL 60706 | 2015-07-16 |
1265836092 | Orthodontic Experts West | Dentist | 4709 N Harlem Ave, Hardwood Heights, IL 60706 | 2014-10-22 |
1932513470 | Best Care for You Inc. | In Home Supportive Care | 4701 N. Cumberland Ave., Suite 12, Norridge, IL 60706 | 2014-06-12 |
1982020509 | Sheila Battaglia | Physical Therapy Assistant | 4605 Osage, Norridge, IL 60706 | 2014-03-06 |
1659652253 | Sana Hasan | Internal Medicine | 7311 West Montrose Avenue, Norridge, IL 60706 | 2011-09-09 |
1922316991 | Gerald Rebustes | Registered Nurse | 4833 N. Olcott Ave.#501, Harwood Heights, IL 60706 | 2010-09-23 |
1760683171 | Gwen May Charnota | Dentist | 7821 Lawrence Ave, Norridge, IL 60706 | 2007-05-31 |
1457552010 | Thao H Bui | Dentist | 4601 N. Cumberland Avenue, Norridge, IL 60706 | 2007-05-30 |
Find all providers in zip 60706 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922019082 | Ramona Zak | Family Medicine | 8307 W Lawrence Ave, Norridge, IL 60706-3129 | 2006-08-11 |
1174541825 | Eleonora Kul Lipski Md Sc | Family Medicine | 4900 N Cumberland, Norridge, IL 60706 | 2006-07-18 |
1417217415 | Jehu Strange | Family Medicine | 4900 N Cumberland Ave, Norridge, IL 60706 | 2012-05-23 |
1427205400 | Dena Zahir Hamad | Family Medicine | 4900 N Cumberland Ave, Norridge, IL 60706-2916 | 2008-08-21 |
1174788129 | Syeda Nishaat Zahedi | Family Medicine | 4900 N Cumberland Ave, Norridge, IL 60706-2916 | 2008-07-18 |
1871674267 | Helena Podgorska | Family Medicine | 4900 N Cumberland Ave, Norridge, IL 60706-2916 | 2006-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
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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.