Individual provider Active NPI

Alex Herskovic, M.D.

  • Radiation Oncology Physician
  • Bourbonnais, IL
National Provider Identifier
1093069528
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
036143812 Issued in IL
Practice address
200 Riverside Dr
Bourbonnais, IL 60914-4689
Phone
(815) 933-9660
Fax
(815) 929-0014
NPI assigned
Nov 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 44416 IA
Radiation Oncology Physician 2085R0001X 01100590A IN
Radiation Oncology Physician 2085R0001X 036143812 IL Primary

Addresses

Primary practice location

200 Riverside Dr
Bourbonnais, IL 60914-4689

Mailing address

200 Riverside Dr
Bourbonnais, IL 60914-4689
Phone (815) 933-9660

Other practice location 1

333 E 10th St Apt 241
Dubuque, IA 52001-7684
Phone (708) 209-6029

Other practice location 2

7435 West Talcott Road
Chicago, IL 60631
Phone (773) 774-8000

Other practice location 3

202 10th St SE
Cedar Rapids, IA 52403-2414
Phone (319) 861-6944

Other practice location 4

350 N Grandview Ave
Dubuque, IA 52001-6388
Phone (563) 589-2468

Other practice location 5

1163 W Stephenson St
Freeport, IL 61032-4866
Phone (815) 599-7000

Other practice location 6

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

Other practice location 7

202 10th St SE
Cedar Rapids, IA 52403-2414
Phone (319) 861-6944

Other practice location 8

8955 W 400 N
Michigan City, IN 46360-9330
Phone (219) 861-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171009000042 IL Practitioner - Radiation Oncology 4587935507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Northwestern University Feinberg Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Loyola University Medical CenterGroup PAC ID 3779488903, 917 clinicians

Practice addresses (Care Compare)

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Loyola University Medical Center Current Accepting new patients
Loyola University Medical Center CurrentSince May 16, 2022 Accepting new patients
Riverside Health System CurrentSince Jan 1, 2018 Accepting new patients
Riverside Health System Current Accepting new patients
Loyola University Medical Center CurrentSince May 16, 2022 Accepting new patients

Locations

300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666

200 Riverside Dr
Bourbonnais, IL 60914
Phone (815) 929-0010

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

375 N Wall St
Ste P320
Kankakee, IL 60901
Phone (815) 928-5064

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

17901 La Grange Rd
Ste 2000
Tinley Park, IL 60487
Phone (708) 327-8300

17901 La Grange Rd
Ste 3000
Tinley Park, IL 60487
Phone (708) 327-8300

17901 La Grange Rd
Ste 1000
Tinley Park, IL 60487
Phone (708) 216-0464

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Interoperability endpoints

  • Direct secure messaging: aherskovic158266@direct.luhs.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1093069528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVERSIDE DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144689",
            "telephone_number": "815-933-9660",
            "fax_number": "815-929-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RIVERSIDE DR",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144689",
            "telephone_number": "815-933-9660",
            "fax_number": "815-929-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 E 10th St Apt 241",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520017684",
            "country_code": "US",
            "telephone_number": "708-209-6029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7435 West Talcott Road",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60631",
            "country_code": "US",
            "telephone_number": "773-774-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 10th St SE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524032414",
            "country_code": "US",
            "telephone_number": "319-861-6944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 N Grandview Ave",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520016388",
            "country_code": "US",
            "telephone_number": "563-589-2468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1163 W Stephenson St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324866",
            "country_code": "US",
            "telephone_number": "815-599-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 W Stephenson St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324864",
            "country_code": "US",
            "telephone_number": "815-599-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 10th St SE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524032414",
            "country_code": "US",
            "telephone_number": "319-861-6944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8955 W 400 N",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463609330",
            "country_code": "US",
            "telephone_number": "219-861-5800",
            "fax_number": "219-861-5543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERSKOVIC",
        "first_name": "ALEX",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-06",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IA",
            "license": "44416",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01100590A",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036143812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.