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

Kankakee Family Medicine

Organization Family Medicine Physician · NPI 1508977513

Kankakee Family Medicine provides Family Medicine Physician services in Kankakee, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

400 N Wall St Ste 504
Kankakee, IL 60901-2965
Phone: (815) 932-4021
Fax: (815) 932-7270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (IL)

Record details

NPI number1508977513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Handy — Partner · (815) 932-4021
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing address400 North Wall St, Ste 504, Kankakee, IL 60901-2965

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