RESURRECTION SERVICES (NPI# 1710259577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710259577 |
| Entity Type | Organization |
| Organization Name | RESURRECTION SERVICES |
| Other Organization Name | RESURRECTION MEDICAL GROUP |
| Practice Address |
1625 Sheridan Rd Suite F Wilmette IL 60091-1824 |
| Mailing Address |
62311 Collection Center Dr Chicago IL 60693-0623 |
| Practice Telephone | 8472511500 |
| Practice Fax Number | 8472512191 |
| 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 | 207R00000X | Internal Medicine | 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 |
1625 SHERIDAN RD SUITE F |
| City | WILMETTE |
| State | IL |
| Zip Code | 60091-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952369217 | North Shore Physicians Group, LLC | Specialist | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2006-05-03 |
| 1134660392 | Mantis Dentistry & Implant Center | Dentist | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2017-03-20 |
| 1336580026 | Presence Ambulatory Service | Clinic/Center | 1625 Sheridan Rd, Suite 1a, Wilmette, IL 60091-1824 | 2013-07-10 |
| 1649514274 | Andrea Sabine Wieger | Physical Therapist | 1625 Sheridan Rd, Suite A, Wilmette, IL 60091-1824 | 2012-11-20 |
| 1740554450 | Resurrection Services | Internal Medicine | 1625 Sheridan Rd, Suite A, Wilmette, IL 60091-1824 | 2012-02-27 |
| 1972885374 | Mary Morgan Snediker | Nurse Practitioner | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2011-09-13 |
| 1881853372 | Jaime So | Physical Therapist | 1625 Sheridan Rd, Suite A, Wilmette, IL 60091-1824 | 2008-06-09 |
| 1528255213 | Lgm,llc | Internal Medicine | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2007-09-26 |
| 1184818791 | Rajesh Jindal | Internal Medicine | 1625 Sheridan Rd, Wilmette, IL 60091-1824 | 2007-08-28 |
| 1598970360 | Northshore Physicians Group, LLC | Physical Therapist | 1625 Sheridan Rd, Suite A, Wilmette, IL 60091-1824 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
| 1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
| 1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
| 1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
| 1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| Find all providers in zip 60091 | ||||
| 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 |
|---|---|---|---|---|
| 1003173345 | Bruce Delozier Kenamore | Internal Medicine | 120 Dupee Pl, Wilmette, IL 60091-3402 | 2012-04-11 |
| 1235315672 | Kenneth B Hatfield | Internal Medicine | 3218 Sprucewood Rd, Wilmette, IL 60091-1111 | 2008-01-16 |
| 1154530798 | Ronald Arthur Semerdjian | Internal Medicine | 2507 Kenilworth Ave, Wilmette, IL 60091-1336 | 2007-05-21 |
| 1194876029 | Gary James Novak | Internal Medicine | 2221 Elmwood Ave, Wilmette, IL 60091-1435 | 2007-01-16 |
| 1215043674 | Anne E Niedenthal | Internal Medicine | 1625 N Sheridan Rd, Unit 4, Wilmette, IL 60091 | 2006-08-21 |
| 1740299346 | Harry Paul Poulos | Internal Medicine | 3019 Old Glenview Rd, Wilmette, IL 60091-2908 | 2006-08-05 |
| 1992730436 | Cynthia L Bartholow | Internal Medicine | 1921 Lake Ave Ste B, Suite B, Wilmette, IL 60091-1480 | 2006-07-12 |
| 1437132768 | Michael Okunieff | Internal Medicine | 116 Plum Tree Ln, Wilmette, IL 60091-3039 | 2005-11-21 |
| 1699777052 | Sunder Vinodkumar | Internal Medicine | 500 Lavergne Ave, Wilmette, IL 60091-2024 | 2005-08-15 |
| 1063411346 | Xiaoying Guo Hensel | Internal Medicine | 1515 Sheridan Rd Ste 31a, Wilmette, IL 60091 | 2005-07-19 |
| Find all providers in WILMETTE | ||||
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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.