KANKAKEE EMERGENCY PHYSICIANS LLC
NPI 1841829454
Emergency Medicine in Kankakee, IL
NPI Status: Active since April 06, 2020
Contact Information
350 N WALL ST
KANKAKEE, IL
ZIP 60901
Phone: (815) 933-1671
- Organization
- Emergency Medicine
- CLIA Number: 14D0969552
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 01-18-2026
About KANKAKEE EMERGENCY PHYSICIANS LLC
This page provides the complete NPI Profile along with additional information for Kankakee Emergency Physicians Llc, a provider established in Kankakee, Illinois operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1841829454 assigned on April 2020. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Kankakee Emergency Physicians Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Karen Vaughn (Officer)
- NPI
- 1841829454
- Provider Name
- KANKAKEE EMERGENCY PHYSICIANS LLC
- Entity Type
- Organization
- Location Address
- 350 N WALL ST KANKAKEE, IL 60901
- Location Phone
- (815) 933-1671
- Mailing Address
- 5565 CENTERVIEW DR STE 107 RALEIGH, NC 27606
- Mailing Phone
- (973) 251-1132
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-06-2020
- Last Update Date
- 03-30-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0969552
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- January 19, 2024
- Certificate Expiration Date
- January 18, 2026
- Laboratory Director
- SMITHA SAMUEL M D
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Kankakee Emergency Physicians Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1841829454, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
KANKAKEE, IL 60901
KANKAKEE, IL 60901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841829454, enumerated as an "organization" on April 06, 2020.
The provider is located at 350 N WALL ST KANKAKEE, IL 60901 and the phone number is (815) 933-1671.
Emergency Medicine with taxonomy code 207P00000X.