KANKAKEE FAMILY MEDICINE – Family Medicine Physician, NPI 1508977513

KANKAKEE FAMILY MEDICINE is a healthcare provider. based in Kankakee, Illinois. specializing in Family Medicine Physician. The NPI Number for KANKAKEE FAMILY MEDICINE is 1508977513

Main info

Organization
Name
KANKAKEE FAMILY MEDICINE
NPI
1508977513
Phone
(815) 932-4021
Address
400 NORTH WALL ST
Authorized Official
DR. KENNETH GEORGE HANDY PARTNER MD
Enumeration Date
31 August 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for KANKAKEE FAMILY MEDICINE

  • 400, North Wall Street, Kankakee, Kankakee County, Illinois, 60901, United States

    STE 504

    KANKAKEE, IL 609012965

    Phone: (815) 932-4021

    Fax: (815) 932-7270

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60901)

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Reviews

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Frequently asked questions

What NPI should I save for KANKAKEE FAMILY MEDICINE?
Save NPI 1508977513 if you need a stable reference for KANKAKEE FAMILY MEDICINE.
Is KANKAKEE FAMILY MEDICINE currently active in the NPI registry?
CMS-published data lists KANKAKEE FAMILY MEDICINE as an active registrant.
Does KANKAKEE FAMILY MEDICINE list a primary specialty?
If you are matching referrals, note Family Medicine Physician for KANKAKEE FAMILY MEDICINE. Clinical services aligned with this taxonomy classification.
Where does public data place KANKAKEE FAMILY MEDICINE?
The snapshot lists Kankakee, Illinois for KANKAKEE FAMILY MEDICINE; download NPPES for the complete set.
What if Kankakee, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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