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

Mr. Justin Duane Frederick Kearney, MD

Individual provider Internal Medicine Physician · NPI 1235878497

Mr. Justin Duane Frederick Kearney, MD is an Internal Medicine in Peoria, Illinois. Qualified in 2022, 4 years ago. Practices with Ascension Medical Group-Southeast Wisconsin Inc, a 555-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
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

530 N.e Glen Oak Ave
Peoria, IL 61637
Phone: (309) 655-6384
Fax: (309) 655-7732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125.080969 (IL)

Record details

NPI number1235878497
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2022
Last updated in NPPESOctober 25, 2022
Certification dateOctober 25, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ascension Medical Group-Southeast Wisconsin Inc — 555 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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