Dr.Vasanwala LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DR.VASANWALA LLC

Practice address

19 Heritage Dr
Ste104
Bourbonnais, IL 60914-1369

Phone

(815) 936-9440

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Salil R Vasanwala, M.D.

Title

Director

Phone

(815) 936-9440

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1457570061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HERITAGE DR",
            "address_2": "STE104",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141369",
            "telephone_number": "815-936-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HERITAGE DR",
            "address_2": "STE104",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141369",
            "telephone_number": "815-936-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.VASANWALA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "VASANWALA",
        "authorized_official_first_name": "SALIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-936-9440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy E Donnelly, PT
• Jaden Doran
• Doreena M McBride MD PC
• Courtney Doyle
• Dr. Katie Maier DC, LTD
• DRS. Slaby, Adams and Tietjens, LTD.
• Brent Patrick Dunlap, O.D.
• Kellye Michelle Eagan, PHARMD
• Charlene R Earley, L.C.S.W.
• Whitney Edwards

• Internal Medicine Physician in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.