RESURRECTION HEALTH CARE NPI 1003121658

NPI Information

  • NPI: 1003121658
  • Provider Name: RESURRECTION HEALTH CARE
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Organization
  • Address: 2617 W IOWA ST
    CHICAGO, IL
    ZIP 60622
  • Phone: (248) 842-9353

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NPI Details

RESURRECTION HEALTH CARE is a student in an organized health care education training program in Chicago, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. RESURRECTION HEALTH CARE NPI is 1003121658. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2617 W IOWA ST
CHICAGO, IL
ZIP 60622-577
Phone: (248) 842-9353

The provider's authorized official is Olena Gordon .
The authorized official title is Resident and has the following contact phone number (248) 842-9353.

The enumeration date for this NPI number is 8/6/2010 and was last updated on 7/21/2022.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramILLINOISYes

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: 11/21/2025

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