Norridge Family Practice

LBN: Resurrection Services
Norridge Family Practice is an health care organization with primary practice located at 7830 W Lawrence Ave , Norridge IL 60706-3267. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Resurrection Services can be contacted via phone (708) 457-8083, or through Dedic, Leonard via phone (708) 583-6818.

Contact Information

Primary practice address
7830 W Lawrence Ave Norridge IL 60706-3267
Phone: (708) 457-8083
Fax: (708) 457-8172
Website:
Map and Directions
Authorized official contact:
Name: Dedic, Leonard
Phone: (708) 583-6818

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036108044 Illinois

Profile Details

NPI number 1578769212
LBN Legal business name Resurrection Services
DBA Doing business as Norridge Family Practice
Authorized official Dedic, Leonard
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2007
Last updated Jul 22nd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578769212 NPPES
Illinois MEDICAID 036121820
Illinois Other 01637820
Illinois Other 036119065
Illinois Other 036121594
Illinois Other 215846

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