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

Mr. Andrew J Donofrio, PA-C

Individual provider Physician Assistant · NPI 1124546221

Mr. Andrew J Donofrio, PA-C is a Physician Assistant in Kankakee, Illinois. Qualified in 2017, 9 years ago. Practices with Meritas Health Corporation, a 494-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Virginia.

Years since qualifying
9
Licensed in
IL, VA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

500 N Wall St
Kankakee, IL 60901-2942
Phone: (844) 404-4787
Fax: (815) 936-3243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 515 Ne Glen Oak Ave, Peoria, IL 61603-3136 — (309) 674-2002
  • 2006 Health Campus Dr Fl 2, Rockingham, VA 22801-8679 — (540) 689-5555

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110010078 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 085006333 (IL)

Record details

NPI number1124546221
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 8, 2017
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Meritas Health Corporation — 494 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kankakee