| Kankakee Family Medicine | |
|
400 North Wall St Ste 504 Kankakee IL 60901-2965 | |
| (815) 932-4021 | |
| (815) 932-7270 |
| Full Name | Kankakee Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 400 North Wall St, Kankakee, Illinois |
| Authorized Official Name and Position | Kenneth George Handy (PARTNER) |
| Authorized Official Contact | 8159324021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kankakee Family Medicine 400 North Wall St Ste 504 Kankakee IL 60901-2965 Ph: (815) 932-4021 | Kankakee Family Medicine 400 North Wall St Ste 504 Kankakee IL 60901-2965 Ph: (815) 932-4021 |
| NPI Number | 1508977513 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508977513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
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