OrganizationActive
Digestive Diseases Consultants of Kankakee, Sc
NPI 1407966302 · Gastroenterology Physician · Bourbonnais, IL
Provider details
- NPI number
- 1407966302
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christina O'Connor, Administrator(815) 602-8253
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 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
1615 N. Convent St
Ste 1
Bourbonnais, IL 60914
Phone: (815) 937-5200
Fax: (815) 937-2063
Street-level locationGet directions
Mailing address
1615 N. Convent St
Bourbonnais, IL 60914
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2024-09-05
- Certified
- 2024-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.