KANKAKEE FAMILY MEDICINE
NPI 1508977513
Family Medicine in Kankakee, IL

Active since August 31, 2006
400 NORTH WALL ST, STE 504, KANKAKEE, IL 60901(815) 932-4021(815) 932-7270 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kankakee Family Medicine NPPES

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

KANKAKEE FAMILY MEDICINE (NPI 1508977513) is a healthcare organization registered as a family medicine in Kankakee, Illinois and active in the NPI registry since August 2006. The organization lists Kenneth George Handy, Partner, as its authorized official.

NPPES Registry Identity

NPI1508977513
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKANKAKEE FAMILY MEDICINE
Location Address400 NORTH WALL ST, STE 504Kankakee, IL 60901-2965
Mailing Address400 North Wall St, Ste 504Kankakee, IL 60901-2965 · (815) 932-4021 · Fax (815) 932-7270
Fax(815) 932-7270
Organization SubpartNo
Authorized OfficialKenneth George HandyPartner · (815) 932-4021
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1508977513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 NORTH WALL ST, Kankakee, IL 60901

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

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

Family Medicine
400 NORTH WALL ST, STE 504
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 Kankakee Family Medicine's NPI number?

The NPI number for Kankakee Family Medicine is 1508977513. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Kankakee Family Medicine located?

Kankakee Family Medicine is located at 400 North Wall St Ste 504, Kankakee, IL 60901. The listed phone number is (815) 932-4021.

What is Kankakee Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kankakee Family Medicine was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.