Individual
SURESH H WADHWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. S.C.
Contact information
Practice address
100 PROVENA WAY, BOURBONNAIS, IL 60914-4796
(815) 936-3200
Mailing address
455 W COURT ST, SUITE 302, KANKAKEE, IL 60901-3679
(815) 936-3250
(815) 936-3253
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036073974
IL
207RI0011X
Interventional Cardiology Physician
036073974
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036073974
—
IL
Enumeration date
02/22/2007
Last updated
10/16/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us