RESURRECTION SERVICES; NPI #1386767937

Contact Information

RESURRECTION SERVICES

3101 N HARLEM AVE
RESURRECTION OPEN MRI IMAGING CENTER
CHICAGO, IL 60634-4532

Phone: 773-836-9360
Fax: 773-745-5522
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Magnetic Resonance Imaging (MRI)	261QM1200X
Radiology	261QR0200X	74	Radiation Therapy Center
Radiology, Mammography	261QR0206X

Indicates primary specialty

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NPI Profile & details for RESURRECTION SERVICES

NPI Number 1386767937

LBN Legal business name RESURRECTION SERVICES

Authorized official DEAN HOBSON - (SYSTEM DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/09/2007

Last updated 10/30/2009 - About 17 years ago

Identifiers

IL	Other	1638753	BCBS GRP
IL	Other	917350	MEDICARE GROUP NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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