RESURRECTION SERVICES NPI 1578769212

NPI Information

  • NPI: 1578769212
  • Provider Name: RESURRECTION SERVICES
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: NORRIDGE FAMILY PRACTICE
  • Address: 7830 W LAWRENCE AVE
    NORRIDGE, IL
    ZIP 60706
  • Phone: (708) 457-8083

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NPI Details

RESURRECTION SERVICES is a family medicine in Norridge, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RESURRECTION SERVICES NPI is 1578769212. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Norridge Family Practice.

The provider's business location address is:

7830 W LAWRENCE AVE
NORRIDGE, IL
ZIP 60706-267
Phone: (708) 457-8083
Fax: (708) 457-8172

The provider's authorized official is Leonard Dedic .
The authorized official title is Vice President and has the following contact phone number (708) 583-6818.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 7/22/2009.

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
1207Q00000XFamily Medicine036108044ILLINOISYes

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
1036121594OTHERILLINOISSTATE LICENSURE
201637820OTHERILLINOISBLUE CROSS BLUE SHIELD GROUP
3036119065OTHERILLINOISSTATE LICENSURE
4036121820MEDICAIDILLINOIS
5215846OTHERILLINOISMEDICARE GROUP
6H84904MEDICARE UPINILLINOIS
7K46804MEDICARE PINILLINOIS

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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