Organization
TALLGRASS CARDIOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERSHEL L WIX (PRESIDENT)
(815) 937-9370
Entity
Organization
Contact information
Practice address
500 N WALL ST STE 100, KANKAKEE, IL 60901-2942
(815) 937-9370
(815) 937-9890
Mailing address
500 N WALL ST STE 100, KANKAKEE, IL 60901-2942
(815) 937-9370
(815) 937-9890
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
IL
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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