Provider Type Icon

RESURRECTION AMBULATORY SERVICES NPI 1588991368


NPI Information

NPI: 1588991368
Provider Name: RESURRECTION AMBULATORY SERVICES

Doing Business As: RESURRECTION AMBULATORY SERVICES

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2433 N HARLEM AVE
SUITE 100
CHICAGO, IL
ZIP 60707
Phone: (773) 889-6355
Get Directions

RESURRECTION AMBULATORY SERVICES is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RESURRECTION AMBULATORY SERVICES NPI is 1588991368. The provider is registered as an organization entity type.
The provider Is Doing Business As Resurrection Ambulatory Services.

The provider's business location address is:

2433 N HARLEM AVE
SUITE 100
CHICAGO, IL
ZIP 60707-031
Phone: (773) 889-6355
Fax: (773) 355-2815

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 11/16/2009 and was last updated on 3/15/2010.


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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QR0200XClinic/CenterRadiologyNo
3261QR0206XClinic/CenterRadiology, MammographyNo
4261QR0404XClinic/CenterRehabilitation, Cardiac FacilitiesNo
5207R00000XInternal MedicineNo
6207RC0000XInternal MedicineCardiovascular DiseaseNo
7261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)No
8261Q00000XClinic/CenterYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.