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

Julian Henderson, MD

Individual provider Surgery Physician · NPI 1700377033

Julian Henderson, MD is a General Surgery in Kankakee, Illinois. Graduated from Eastern Virginia Medical School in 2018, 8 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois and Rhode Island.

Years since qualifying
8
Trained at
Eastern Virginia Medical School
Licensed in
IL, RI
In the registry since
2018
Specialties on file
3
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

555 W Court St Ste 214
Kankakee, IL 60901-3674
Phone: (815) 928-6131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036165552 (IL)
Surgery Physician Taxonomy 208600000X · Licence LP04240 (RI)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 036165552 (IL)

Record details

NPI number1700377033
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 22, 2018
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2018 (8 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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