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

Kankakee Family Medicine

Organization Family Medicine Physician · NPI 1508977513

Kankakee Family Medicine is a Family Medicine Physician in Kankakee, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

400 N Wall St Ste 504
Kankakee, IL 60901-2965
Phone: (815) 932-4021
Fax: (815) 932-7270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (IL)

Record details

NPI number1508977513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Handy — Partner · (815) 932-4021
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing address400 North Wall St, Ste 504, Kankakee, IL 60901-2965

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