| Organization Name: | RESURRECTION AMBULATORY SERVICES |
| NPI Number: | 1033446810 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEAN M. HOBSON (SYSTEM DIRECTOR) |
| Mailing Address: | 420 William St 2nd Floor River Forest |
| State: | IL US |
| Postal Code: | 603051920 |
| Phone Number: | 7087634727 |
| Fax Number: | 7087632781 |
| NPI Enumeration Date: | 11/16/2009 |
| NPI Last Update Date: | 03/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0206X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mammography |
| Taxonomy Definition: | |