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RESURRECTION SERVICES NPI 1386767937


NPI Information

NPI: 1386767937
Provider Name: RESURRECTION SERVICES

Doing Business As: RESURRECTION OPEN MRI AND IMAGING CENTER

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
3101 N HARLEM AVE
RESURRECTION OPEN MRI IMAGING CENTER
CHICAGO, IL
ZIP 60634
Phone: (773) 836-9360
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RESURRECTION SERVICES is a magnetic resonance imaging (mri) clinic center in Chicago, IL. RESURRECTION SERVICES NPI is 1386767937. The provider is registered as an organization entity type.
The provider Is Doing Business As Resurrection Open Mri And Imaging Center.

The provider's business location address is:

3101 N HARLEM AVE
RESURRECTION OPEN MRI IMAGING CENTER
CHICAGO, IL
ZIP 60634-532
Phone: (773) 836-9360
Fax: (773) 745-5522

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 4/9/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0200XClinic/CenterRadiologyILLINOISNo
2261QR0206XClinic/CenterRadiology, MammographyILLINOISNo
3261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1917350OTHERILLINOISMEDICARE GROUP NUMBER
21638753OTHERILLINOISBCBS GRP

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: 11/14/2023

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