OrganizationActive
Kidney Specialists of Kankakee Ltd
NPI 1124153176 · Nephrology Physician · Kankakee, IL
Provider details
- NPI number
- 1124153176
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Miguel Hizon, President(815) 933-4422
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
455 W Court St Ste 304
Kankakee, IL 60901-3694
Phone: (815) 933-4422
Fax: (815) 933-4446
Street-level locationGet directions
Mailing address
455 W Court St Ste 304
Kankakee, IL 60901-3694
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2007-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.