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Organization
RESURRECTION AMBULATORY SERVICES
Active
Organization
RESURRECTION AMBULATORY SERVICES
Active
Other names
Resurrection Ambulatory Services
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN M. HOBSON (SYSTEM DIRECTOR)
(773) 797-3603
Entity
Organization
Contact information
Practice address
2433 N HARLEM AVE, SUITE 100, CHICAGO, IL 60707-2031
(773) 889-6355
(773) 355-2815
Mailing address
PO BOX 6670, RIVER FOREST, IL 60305-6670
(708) 675-8160
(708) 364-7474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
261QR0206X
Mammography Clinic/Center
—
NULL
261QR0404X
Cardiac Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
11/16/2009
Last updated
03/15/2010
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