MED-PEDS ASSOCIATES,P.C.
NPI 1063538312
Pediatrics in Kankakee, IL

Active since March 21, 2007
375 N WALL ST, STE P520, KANKAKEE, IL 60901(815) 933-0194(815) 933-1444 Get Directions Write a Review

NPPES record last updated: October 20, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Med-peds Associates,p.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MED-PEDS ASSOCIATES,P.C. (NPI 1063538312) is a healthcare organization registered as a pediatrics in Kankakee, Illinois and active in the NPI registry since March 2007. The organization lists Stonewall Mccuiston, President, as its authorized official.

NPPES Registry Identity

NPI1063538312
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMED-PEDS ASSOCIATES,P.C.
Location Address375 N WALL ST, STE P520Kankakee, IL 60901-3483
Mailing Address375 N Wall St, Ste P520Kankakee, IL 60901-3483 · (815) 933-0194 · Fax (815) 933-1444
Fax(815) 933-1444
Organization SubpartNo
Authorized OfficialStonewall MccuistonPresident · (815) 933-0194
Enumeration DateMarch 21, 2007
Last NPPES UpdateOctober 20, 2010
NPI 1063538312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IL · 036074737
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036074737 (IL)
375 N WALL ST, Kankakee, IL 60901

Other Identifiers 6

Other4623239IL · Blue Cross/blue Shield Of Illinois
Medicare PINCH9254IL
Medicaid036074737IL
Medicare PIN562100IL
Medicaid=========-60901-01IL
Medicare UPINE19358IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
375 N WALL ST, SUITE 310
KANKAKEE, IL 60901
Physician Assistant
375 N WALL ST
KANKAKEE, IL 60901
Urology
375 N WALL ST, STE P530
KANKAKEE, IL 60901
Obstetrics & Gynecology
375 N WALL ST, STE P410
KANKAKEE, IL 60901
Obstetrics & Gynecology
375 N WALL ST, STE P410
KANKAKEE, IL 60901
Obstetrics & Gynecology
375 N WALL ST, SUITE P410
KANKAKEE, IL 60901
Internal Medicine
375 N WALL ST
KANKAKEE, IL 60901
Registered Nurse
375 N WALL ST
KANKAKEE, IL 60901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Med-Peds Associates,p.C.'s NPI number?

The NPI number for Med-Peds Associates,p.C. is 1063538312. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Med-Peds Associates,p.C. located?

Med-Peds Associates,p.C. is located at 375 N Wall St Ste P520, Kankakee, IL 60901. The listed phone number is (815) 933-0194.

What is Med-Peds Associates,p.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Med-Peds Associates,p.C. was last updated on October 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.