Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NORTHEASTERN ILLINOIS EMERGENCY PHYSICIANS, LLC
NPI 1548969181
Emergency Medicine in Kankakee, IL

Q: What is Northeastern Illinois Emergency Physicians, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since March 02, 2023

350 N WALL ST, KANKAKEE, IL 60901(815) 933-1671 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2026, Aug 13, 2026, Mar 2, 2023 (3 updates tracked since 2023).

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About Northeastern Illinois Emergency Physicians, Llc NPPES

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

NORTHEASTERN ILLINOIS EMERGENCY PHYSICIANS, LLC (NPI 1548969181) is a healthcare organization registered as an emergency medicine in Kankakee, Illinois and active in the NPI registry since March 2023. The organization lists Kim Larsen, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1548969181

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameNORTHEASTERN ILLINOIS EMERGENCY PHYSICIANS, LLC

Location Address350 N WALL STKankakee, IL 60901-2901

Mailing AddressPo Box 35222Belfast, ME 04915-0630 · (770) 874-5400

Phone(815) 933-1671

Organization SubpartNo

Authorized OfficialKim LarsenDirector Of Credentialing · (770) 874-5400

Enumeration DateMarch 2, 2023

Last NPPES UpdateNovember 5, 20263 updates tracked since enumeration

NPPES CertifiedNovember 5, 2026

✔ NPI 1548969181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

350 N WALL ST, Kankakee, IL 60901

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeastern Illinois Emergency Physicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 61 clinicians reassign Medicare billing to Northeastern Illinois Emergency Physicians, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Emergency Medicine47

Nurse Practitioner13

Critical Care (Intensivists)1

Nearest to this location (20)

See all 61

Lindsey Goodwin

Nurse Practitioner

NPI 1912879834