Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sally Salazar

Individual provider Gerontology Nurse Practitioner · NPI 1417664707

Sally Salazar is a Nurse Practitioner in Bolingbrook, Illinois. Qualified in 2022, 4 years ago. Practices with Cardiac Vision LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1497 Somerfield Dr
Bolingbrook, IL 60490-3207
Phone: (630) 506-2068
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 209.026133 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 209.026133 (IL)

Record details

NPI number1417664707
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 4, 2022
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023
Mailing address1497 Somerfield Dr, Bolingbrook, IL 60490-3207

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cardiac Vision Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bolingbrook