Salil R Vasanwala, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Practice address

19 Heritage Dr
Ste104
Bourbonnais, IL 60914-1369

Phone

(815) 936-9440

Fax

(815) 936-9308

NPI assigned

May 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619924248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 TOULOUSE",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144558",
            "telephone_number": "815-936-9440",
            "fax_number": "815-936-9308"
        },
        {
            "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",
            "fax_number": "815-936-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASANWALA",
        "first_name": "SALIL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Tereasa Valarezo, AM, LCSW
• John A Vallone, D.D.S.
• David W Van Dehey, DC
• Vandehey Chiropractic Health Center
• Lisa Vander Veer, PSYD
• Brian David Vaughn
• Polly Marie Vaughn
• Victor Manuel Vazquez Cervantes, PHARMD
• Rebecca Ellen Veasey, PA-C
• Cole Jonathan Verbrugge, DC

• 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 Jul 8, 2007; 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.