Tallgrass Cardiology Services Sc

LBN: Tallgrass Cardiology Services Sc
Tallgrass Cardiology Services Sc is an health care organization with primary practice located at 475 Brown Blvd Suite 103, Bourbonnais IL 60914-2325. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Tallgrass Cardiology Services Sc can be contacted via phone (815) 937-9370, or through Wix, Hershel Liston via phone (815) 937-9370.

Contact Information

Primary practice address
475 Brown Blvd Suite 103 Bourbonnais IL 60914-2325
Fax: (815) 937-2700
Website:
Authorized official contact:
Name: Wix, Hershel Liston Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036051497 Illinois

Profile Details

NPI number 1821398439
LBN Legal business name Tallgrass Cardiology Services Sc
DBA Doing business as
Authorized official Wix, Hershel Liston Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2010
Last updated Jan 11th, 2011 - about 15 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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