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

Laureate Kankakee Operations LLC

Organization Mental Illness Intermediate Care Facility · NPI 1205488954

Laureate Kankakee Operations LLC is a Mental Illness Intermediate Care Facility in Bourbonnais, 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

100 Belle Aire Ave
Bourbonnais, IL 60914-2006
Phone: (815) 939-0910
Fax: (815) 929-0973
Show map & directions

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

Specialties & licences

Mental Illness Intermediate Care Facility (primary) Taxonomy 310500000X

Record details

NPI number1205488954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaun Ahmad — Manager · (704) 426-8849
NPI enumeratedJuly 12, 2019
Last updated in NPPESJuly 12, 2019
Mailing address13024 Balntyn Corp Pl Ste 425, Charlotte, NC 28277-4420

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