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

Kankakee School District 111 School-Based Health Center

Organization General Practice Dentistry · NPI 1235256520

Kankakee School District 111 School-Based Health Center is a General Practice Dentistry in Kankakee, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
3

Practice location Address checks out

2250 E Crestwood St
Kankakee, IL 60901-2803
Phone: (815) 933-0772
Fax: (815) 933-6730
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student Health Clinic/Center (primary) Taxonomy 261QS1000X (IL)
General Practice Dentistry Taxonomy 1223G0001X (IL)
Student Health Clinic/Center Taxonomy 261QS1000X (IL)

Record details

NPI number1235256520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Ali — Superintendent · (815) 933-0772
NPI enumeratedMarch 23, 2007
Last updated in NPPESApril 20, 2008
Mailing address2250 E Crestwood St, Kankakee, IL 60901-2803

Other providers in Kankakee