Individual provider Active NPI

Tamir Y Hersonskey, M.D.

  • Neurological Surgery Physician
  • Joliet, IL
National Provider Identifier
1629025663
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036-111695 Issued in IL
Practice address
301 Madison St Ste 300
Joliet, IL 60435
Phone
(815) 725-4367
Fax
(815) 725-4863
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036-111695 IL Primary

Addresses

Primary practice location

301 Madison St Ste 300
Joliet, IL 60435

Mailing address

1000 Remington Blvd Ste 100
Bolingbrook, IL 60440-4707

Other practice location 1

16615 S Route 59
Plainfield, IL 60586-2921
Phone (815) 725-4367

Other practice location 2

396 Remington Blvd Ste 260
Bolingbrook, IL 60440-4312
Phone (815) 725-4367

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address thersonskey91069@ce-direct.presencehealth.org
Direct Messaging Address thersonskey79474@sih.direct-ci.com

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
I20041028000055 IL Practitioner - Neurosurgery 4183686637 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

100 N River Rd
Des Plaines, IL 60016-1209
Phone (847) 297-1800

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

201 N Hammes Ave
Joliet, IL 60435-6611
Phone (224) 273-6350

800 Biesterfield Rd
Elk Grove Village, IL 60007-3361

Hospital & facility affiliations

  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
  • Presence St Marys Hospital Hospital, Kankakee, IL, CCN 140155
  • Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101
  • Riverside Medical Center Hospital, Kankakee, IL, CCN 140186
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion15
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-111695ILMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Illinois Medical Group LLC CurrentSince Jul 14, 2025 Accepting new patients
Dupage Medical Group LTD CurrentSince Oct 1, 2015 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jul 1, 2004 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Dupage Medical Group LTD CurrentSince Oct 1, 2015 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Oct 7, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Neurological Surgery CurrentSince Jul 1, 2004 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Bonaventure Medical Foundation, LLC Past Accepting new patients

Locations

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

305 W Jackson St
Ste 400
Carbondale, IL 62901
Phone (618) 351-4972

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

7447 W Talcott Ave
Ste 233
Chicago, IL 60631
Phone (815) 725-4367

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

301 Madison St
Joliet, IL 60435
Phone (815) 725-6331

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

301 Madison St
Ste 120
Joliet, IL 60435
Phone (815) 725-2699

301 Madison St
Ste 300
Joliet, IL 60435
Phone (815) 725-4367

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

16615 S Route 59
Plainfield, IL 60586
Phone (815) 436-7303

Interoperability endpoints

  • Direct secure messaging: thersonskey91069@ce-direct.presencehealth.org
  • Direct secure messaging: thersonskey79474@sih.direct-ci.com

Organizations & group practices 9

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 5

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1629025663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON BLVD STE 100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404707",
            "fax_number": "630-914-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MADISON ST STE 300",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-725-4367",
            "fax_number": "815-725-4863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16615 S Route 59",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605862921",
            "country_code": "US",
            "telephone_number": "815-725-4367",
            "fax_number": "815-725-4863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "396 Remington Blvd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604404312",
            "country_code": "US",
            "telephone_number": "815-725-4367",
            "fax_number": "815-725-4863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERSONSKEY",
        "first_name": "TAMIR",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036-111695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thersonskey91069@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "301 Madison St Ste 300",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thersonskey79474@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "305 W Jackson St Ste 400",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.