RESURRECTION AMBULATORY SERVICES (NPI# 1760719546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760719546 |
Entity Type | Organization |
Organization Name | RESURRECTION AMBULATORY SERVICES |
Other Organization Name | RES-HEALTH ADVANCED IMAGING CENTER |
Practice Address |
420 William St 1st Floor River Forest IL 60305-1920 |
Mailing Address |
15330 S La Grange Rd Suite 203 Orland Park IL 60462-3885 |
Practice Telephone | 7084882300 |
Practice Fax Number | 7084882302 |
Mailing Telephone | 7086758160 |
Mailing Fax Number | 7083647474 |
Enumeration Date | 2009-11-16 |
Last Update Date | 2010-03-15 |
Authorized Official Name | DEAN M. HOBSON (SYSTEM DIRECTOR) |
Authorized Official Telephone | 7737973603 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
RES-Health Advanced Imaging Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033446810 | Resurrection Ambulatory Services | Clinic/Center | 420 William St, 2nd Floor, River Forest, IL 60305-1920 | 2009-11-16 |
1588991368 | Resurrection Ambulatory Services | Clinic/Center | 2433 N Harlem Ave, Suite 100, Chicago, IL 60707-2031 | 2009-11-16 |
1427385202 | Resurrection Ambulatory Services | Internal Medicine | 7411 Lake St, Suite 2110, River Forest, IL 60305-1876 | 2009-11-16 |
Street Address |
420 WILLIAM ST 1ST FLOOR |
City | RIVER FOREST |
State | IL |
Zip Code | 60305-1920 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518097567 | West Suburban Medical Center | Radiology | 420 William St, Bone Density At Fpc, River Forest, IL 60305-1920 | 2007-03-07 |
1588985519 | Vhs Acquisition Subsidiary Number 4 Inc | Radiology | 420 William St, 1st Floor, River Forest, IL 60305-1920 | 2010-06-14 |
1235450388 | Vhs Acquisition Subsidiary Number 4 Inc | Radiology | 420 William St, 2nd Floor, River Forest, IL 60305-1920 | 2010-06-11 |
1033446810 | Resurrection Ambulatory Services | Clinic/Center | 420 William St, 2nd Floor, River Forest, IL 60305-1920 | 2009-11-16 |
1477729507 | Patricia Lynn Russell | Internal Medicine | 420 William St, Suite 1001, River Forest, IL 60305-1920 | 2008-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063969004 | Logan N Nierzwicki | Physical Therapist | 7341 A Lake St, River Forest, IL 60305 | 2016-09-07 |
1427442292 | Gina Patel | Physical Therapist | 7341a Lake St, River Forest, IL 60305 | 2015-03-19 |
1316369630 | Kristin Burns | Social Worker | 1115 Thatcher Ave, River Forest, IL 60305 | 2014-01-07 |
1508102823 | Elizabeth Ralyea | Nurse Practitioner | 7251 W Lake Street, River Forest, IL 60305 | 2012-12-13 |
1194009175 | Mani Chhibba | Optometrist | 7345 West Lake Street, River Forest, IL 60305 | 2011-10-07 |
1508069212 | Fatima Ali Hyder | Internal Medicine | 7343 Lake St, River Forest, IL 60305 | 2007-06-08 |
1932314069 | Karen Vanslyck Darley | Dentist | 340 Lathryn Ave, River Forest, IL 60305 | 2007-05-11 |
1083836571 | Lucelita Abad Duffy | Physical Therapist | 7411 Lake Street, Rehabilitation & Sports Medicine West Suburban Resurrec, River Forest, IL 60305 | 2007-05-03 |
1457484669 | Michelle Annette Melyn | Psychiatry & Neurology | 7777 West Lake St, River Forest, IL 60305 | 2007-03-14 |
1588797757 | Marie T Walsh | Dentist | 7765 W. North Ave., River Forest, IL 60305 | 2007-03-14 |
Find all providers in zip 60305 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104940329 | Resurrection Services | Clinic/Center | 420 William Street, 1st Floor, River Forest, IL 60305-1920 | 2007-03-16 |
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---|---|---|---|---|
1043831134 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Clinic/Center | 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 | 2020-04-30 |
1285255463 | Blessing Corporate Services, Inc | Clinic/Center | 927 Broadway St Ste 132, Quincy, IL 62301-2737 | 2020-04-29 |
1518505585 | Akumin Health Illinois, LLC | Clinic/Center | 820 E Terra Cotta Ave Ste 136, Crystal Lake, IL 60014-3650 | 2019-12-20 |
1992349724 | Home Diagnostics Plus LLC | Clinic/Center | 2154 W Rosemont Ave Ste 2f, Chicago, IL 60659-3226 | 2019-11-05 |
1639731839 | United Providers Inc | Clinic/Center | 9325 S Thomas Ave, Bridgeview, IL 60455-2163 | 2019-07-08 |
1861957144 | Rsr Medical | Clinic/Center | 1509 N Western Ave Unit 404, Chicago, IL 60622-1747 | 2019-01-31 |
1013429125 | Diagnostic Services LLC | Clinic/Center | 16101 Weber Rd Unit A, Crest Hill, IL 60403-8813 | 2017-10-30 |
1285157313 | Midwest Advanced Radiology Center, LLC | Clinic/Center | 11600 S Kedzie Ave Ste G, Merrionette Park, IL 60803-6308 | 2017-07-20 |
1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
1922456474 | Berwyn Imaging LLC | Clinic/Center | 6728 Cermak Rd, Berwyn, IL 60402-2217 | 2016-05-25 |
Find all providers with the same taxonomy |
City | RIVER FOREST |
Zip Code | 60305 |
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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.