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

Dr. Vijay Kata, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154069839

Dr. Vijay Kata, MD is a Student in an Organized Health Care Education/Training Program in Kankakee, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

350 N Wall St
Kankakee, IL 60901-2901
Phone: (815) 928-6274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 125.080441 (IL)

Record details

NPI number1154069839
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 23, 2022
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address350 N Wall St, Kankakee, IL 60901-2901

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