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

Individual provider Medical Physician Assistant · NPI 1861638306

Timothy J Menard, PA is a Medical Physician Assistant in Kankakee, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3000 S Justice Way
Kankakee, IL 60901-8449
Phone: (815) 802-0731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085-000584 (IL)

Record details

NPI number1861638306
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 6, 2009
Last updated in NPPESJanuary 6, 2009