RESURRECTION SERVICES NPI 1104940329

NPI Information

NPI: 1104940329
Provider Name: RESURRECTION SERVICES

Doing Business As: RES-HEALTH ADVANCED IMAGING CENTER

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
420 WILLIAM STREET
1ST FLOOR
RIVER FOREST, IL
ZIP 60305
Phone: (708) 488-2300
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RESURRECTION SERVICES is a radiology clinic center in River Forest, IL. RESURRECTION SERVICES NPI is 1104940329. The provider is registered as an organization entity type.
The provider Is Doing Business As Res-health Advanced Imaging Center.

The provider's business location address is:

420 WILLIAM STREET
1ST FLOOR
RIVER FOREST, IL
ZIP 60305-920
Phone: (708) 488-2300
Fax: (708) 488-2302

The provider's authorized official is Dean M. Hobson .
The authorized official title is System Director and has the following contact phone number (773) 797-3603.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 10/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	IL1390	MEDICARE PIN
2	1619414	OTHER		BCBS GROUP
3	140049	OTHER	ILLINOIS	HOSPITAL MC GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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