National Provider Identifier Database

RESURRECTION AMBULATORY SERVICES
Clinic/Center

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).


Contact Information

RESURRECTION AMBULATORY SERVICES
2433 N HARLEM AVE
SUITE 100
CHICAGO, IL60707-2031
Phone: 773-889-6355
Fax: 773-355-2815
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X
Cardiovascular Disease 207RC0000X
Internal Medicine 207R00000X
Magnetic Resonance Imaging (MRI) 261QM1200X
Multi-Specialty 261QM1300X
Radiology 261QR0200X
Radiology, Mammography 261QR0206X
Rehabilitation: Cardiac Facilities 261QR0404X

* Indicates primary specialty

NPI Profile & details for RESURRECTION AMBULATORY SERVICES

NPI Number 1588991368
Legal business name
LBN
RESURRECTION AMBULATORY SERVICES
Authorized official DEAN HOBSON - (SYSTEM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/16/2009
Last updated 03/15/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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