Suresh H. Wadhwani, MD, SC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

036073974 Issued in IL

Legal business name

SURESH H. WADHWANI, MD, SC

Practice address

455 W Court St
Suite 302
Kankakee, IL 60901-3694

Phone

(815) 936-3250

Fax

(815) 936-3253

NPI assigned

Apr 3, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suresh H Wadhwani, M.D.NPI 1659406510

Title

President

Phone

(815) 936-3250

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suresh H Wadhwani, M.D. S.C.

  • Cardiovascular Disease Physician
  • Bourbonnais, IL
  • NPI 1659406510
  Authorized official Same address or phone

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1841252152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W COURT ST",
            "address_2": "SUITE 302",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013679",
            "telephone_number": "815-936-3250",
            "fax_number": "815-936-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W COURT ST",
            "address_2": "SUITE 302",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013694",
            "telephone_number": "815-936-3250",
            "fax_number": "815-936-3253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S First St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "IL",
            "postal_code": "604818973",
            "country_code": "US",
            "telephone_number": "815-936-3250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURESH H. WADHWANI, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WADHWANI",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-936-3250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036073974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB9171",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC7793",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mobolaji B Suleiman, MD
• Qatrice Sumrall
• Stephen Supple, MD
• Brad L Suprenant, DO
• Surecare Health Pharmacy Inc (Surecare Health Pharmacy)
• Matthew Sutherland
• Deborah Ann Sutton, LCSW
• Charles Earl Swanson, DO
• Syreeta C Jones DDS
• Syreeta C Jones DDS

• Interventional Cardiology Physician in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Interventional Cardiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.