TALLGRASS CARDIOLOGY SERVICES SC NPI 1821398439

NPI Information

  • NPI: 1821398439
  • Provider Name: TALLGRASS CARDIOLOGY SERVICES SC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 475 BROWN BLVD
    SUITE 103
    BOURBONNAIS, IL
    ZIP 60914
  • Phone: (815) 937-9370

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NPI Details

TALLGRASS CARDIOLOGY SERVICES SC is a cardiovascular disease internal medicine in Bourbonnais, IL. The provider is 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. TALLGRASS CARDIOLOGY SERVICES SC NPI is 1821398439. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

475 BROWN BLVD
SUITE 103
BOURBONNAIS, IL
ZIP 60914-325
Phone: (815) 937-9370
Fax: (815) 937-2700

The provider's authorized official is Hershel Liston Wix .
The authorized official title is President and has the following contact phone number (815) 937-9370.

The enumeration date for this NPI number is 10/28/2010 and was last updated on 1/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease036051497ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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