RESURRECTION SERVICES; NPI #1104940329

Contact Information

RESURRECTION SERVICES

420 WILLIAM STREET
1ST FLOOR
RIVER FOREST, IL 60305-1920

Phone: 708-488-2300
Fax: 708-488-2302
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for RESURRECTION SERVICES

NPI # 1104940329

LBN Legal business name RESURRECTION SERVICES

Authorized official DEAN HOBSON - (SYSTEM DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/16/2007

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

Identifiers

	Other	1619414	BCBS GROUP
IL	Other	140049	HOSPITAL MC 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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