Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cpc Surgical Suite LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1538719778

Cpc Surgical Suite LLC is a Pain Medicine (Anesthesiology) Physician in Kankakee, Illinois. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

555 W Court St Ste 100
Kankakee, IL 60901-3673
Phone: (815) 929-1520
Fax: (815) 614-3029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1538719778
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Kelly — Doctor · (815) 929-1520
NPI enumeratedSeptember 19, 2019
Last updated in NPPESMarch 16, 2020
Certification dateMarch 16, 2020
Mailing address555 W Court St Ste 100, Kankakee, IL 60901-3673

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