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TALLGRASS CARDIOLOGY SERVICES SC
NPI 1821398439
Internal Medicine - Cardiovascular Disease in Bourbonnais, IL

Active since October 28, 2010
475 BROWN BLVD, SUITE 103, BOURBONNAIS, IL 60914(815) 937-9370(815) 937-2700 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tallgrass Cardiology Services Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TALLGRASS CARDIOLOGY SERVICES SC (NPI 1821398439) is a healthcare organization registered as a cardiovascular disease in Bourbonnais, Illinois and active in the NPI registry since October 2010. The organization lists Hershel Liston Wix, President, as its authorized official.

NPPES Registry Identity

NPI1821398439
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameTALLGRASS CARDIOLOGY SERVICES SC
Location Address475 BROWN BLVD, SUITE 103Bourbonnais, IL 60914-2325
Mailing Address475 Brown Blvd, Suite 103Bourbonnais, IL 60914-2325 · (815) 937-9370 · Fax (815) 937-2700
Phone(815) 937-9370
Fax(815) 937-2700
Organization SubpartNo
Authorized OfficialHershel Liston WixPresident · (815) 937-9370
Enumeration DateOctober 28, 2010
Last NPPES UpdateJanuary 11, 2011
✔ NPI 1821398439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IL · 036051497
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
475 BROWN BLVD, Bourbonnais, IL 60914
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOWER PLAZA NEUROLOGY SC
Psychiatry & Neurology (Neurology)
475 BROWN BLVD, SUITE 101
BOURBONNAIS, IL 60914
Kankakee County (815) 939-7421
MICHAEL JOHN SERGEANT SR. M.D.
Psychiatry & Neurology (Neurology)
475 BROWN BLVD, SUITE 101
BOURBONNAIS, IL 60914
Kankakee County (815) 939-7421
DR. AVTAR K RAZDAN I M.D.
Pediatrics (Adolescent Medicine)
475 BROWN BLVD, SUITE 102
BOURBONNAIS, IL 60914
Kankakee County (815) 939-0003
DR. JENNIFER PABLO NEPOMUCENO M.D.
Family Medicine
475 BROWN BLVD, SUITE 106
BOURBONNAIS, IL 60914
Kankakee County (815) 937-8786
DR. REYNALDO ELAZEGUI NEPOMUCENO M.D.
Family Medicine
475 BROWN BLVD, SUITE 106
BOURBONNAIS, IL 60914
Kankakee County (815) 937-8786
RETINA OF ILLINOIS, S.C.
Ophthalmology
475 BROWN BLVD, SUITE 109
BOURBONNAIS, IL 60914
Kankakee County (815) 802-2090
RIVERVIEW PHARMACIES INC
Pharmacy (Community/Retail Pharmacy)
475 BROWN BLVD, SUITE 105
BOURBONNAIS, IL 60914
Kankakee County (815) 933-1735
FIVE APPLES INPATIENT SPECIALISTS
Internal Medicine
475 BROWN BLVD, STE 103
BOURBONNAIS, IL 60914
Kankakee County (815) 937-7962

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tallgrass Cardiology Services Sc's NPI number?

The NPI number for Tallgrass Cardiology Services Sc is 1821398439. It was assigned to this organization in the NPPES registry on October 28, 2010.

Where is Tallgrass Cardiology Services Sc located?

Tallgrass Cardiology Services Sc is located at 475 Brown Blvd Suite 103, Bourbonnais, IL 60914. The listed phone number is (815) 937-9370.

What is Tallgrass Cardiology Services Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Tallgrass Cardiology Services Sc was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.