Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Karim H Bouferrache, PA-C

Individual provider Physician Assistant · NPI 1780969634

Mr. Karim H Bouferrache, PA-C is a Physician Assistant in Kankakee, Illinois. Qualified in 2011, 15 years ago. Practices with Riverside Health System, a 205-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
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

375 N Wall St Ste P530
Kankakee, IL 60901-3486
Phone: (815) 932-7200
Fax: (815) 935-7874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4400 W 95th St Ste 407, Oak Lawn, IL 60453-2654 — (708) 684-4029

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085004421 (IL)

Record details

NPI number1780969634
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 11, 2011
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Riverside Health System — 205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Kankakee