Organization
RESURRECTION SERVICES
Active
Other names
Resurrection Open MRI and Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN M. HOBSON (SYSTEM DIRECTOR)
(773) 797-3603
Entity
Organization
Contact information
Practice address
3101 N HARLEM AVE, RESURRECTION OPEN MRI IMAGING CENTER, CHICAGO, IL 60634-4532
(773) 836-9360
(773) 745-5522
Mailing address
15330 S LA GRANGE RD, SUITE 203, ORLAND PARK, IL 60462-3885
(708) 675-8160
(708) 364-7474
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
IL
261QR0200X
Radiology Clinic/Center
—
IL
261QR0206X
Mammography Clinic/Center
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1638753
BCBS GRP
IL
01
—
917350
MEDICARE GROUP NUMBER
IL
Enumeration date
04/09/2007
Last updated
10/30/2009
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