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

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  • 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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAREN VAUGHN

Authorized Official Title
OFFICER
Authorized Official Phone
(973) 251-1132

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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
4
Doubled → 8
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 4 → 8 8 → 16 → 7 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 8 + 1 + 1 + 6 + 2 + 1 + 8 + 4 + 1 + 0 + 24 = 66

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.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1841829454.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
350 N WALL ST
KANKAKEE, IL 60901
Emergency Medicine
350 N WALL ST
KANKAKEE, IL 60901
Emergency Medicine
350 N WALL ST
KANKAKEE, IL 60901
Emergency Medicine (Emergency Medical Services)
350 N WALL ST
KANKAKEE, IL 60901
Physical Therapist
350 N WALL ST, 5TH FLOOR REHAB SERVICES
KANKAKEE, IL 60901
Pharmacy (Home Infusion Therapy Pharmacy)
350 N WALL ST
KANKAKEE, IL 60901
General Acute Care Hospital
350 N WALL ST
KANKAKEE, IL 60901
Nurse Anesthetist, Certified Registered
350 N WALL ST
KANKAKEE, IL 60901
Physical Therapist
350 N WALL ST
KANKAKEE, IL 60901
Physician Assistant
350 N WALL ST
KANKAKEE, IL 60901
Speech-Language Pathologist
350 N WALL ST
KANKAKEE, IL 60901
Occupational Therapist
350 N WALL ST
KANKAKEE, IL 60901
Hospitalist
350 N WALL ST
KANKAKEE, IL 60901
Physical Therapist
350 N WALL ST
KANKAKEE, IL 60901
Dietitian, Registered
350 N WALL ST
KANKAKEE, IL 60901
Physical Therapist
350 N WALL ST
KANKAKEE, IL 60901
Physical Therapist
350 N WALL ST, REHAB SERVICES
KANKAKEE, IL 60901
Physical Therapy Assistant
350 N WALL ST
KANKAKEE, IL 60901
Physical Therapist
350 N WALL ST
KANKAKEE, IL 60901
Occupational Therapy Assistant
350 N WALL ST
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.