| Medical Group Of Kankakee County | |
|
692 N. Maple Herscher IL 60941 | |
| (815) 426-2020 | |
| Not Available |
| Full Name | Medical Group Of Kankakee County |
|---|---|
| Speciality | Family Medicine |
| Location | 692 N. Maple, Herscher, Illinois |
| Authorized Official Name and Position | Jeffery Long (DIRECTOR) |
| Authorized Official Contact | 8154262020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Group Of Kankakee County 692 N Maple St Herscher IL 60941-9785 Ph: (815) 426-2020 | Medical Group Of Kankakee County 692 N. Maple Herscher IL 60941 Ph: (815) 426-2020 |
| NPI Number | 1962588095 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 03/30/2015 |
| Medicare PECOS PAC ID | 3577462258 |
|---|---|
| Medicare Enrollment ID | O20031231000561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962588095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Hashim R Zaidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821005448 PECOS PAC ID: 8325046840 Enrollment ID: I20061117000106 |
| Provider Name | Jeffery D Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932284700 PECOS PAC ID: 0345149035 Enrollment ID: I20100206000142 |
| Provider Name | Clyde W Dayhoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255417382 PECOS PAC ID: 8426957119 Enrollment ID: I20100220000403 |
| Provider Name | Megan Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336754167 PECOS PAC ID: 3173943701 Enrollment ID: I20201020000714 |
| Provider Name | Patrick Hale Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780206094 PECOS PAC ID: 0143643874 Enrollment ID: I20230708000237 |