OrganizationActive
Kankakee Family Medicine
NPI 1508977513 · Family Medicine Physician · Kankakee, IL
Provider details
- NPI number
- 1508977513
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Handy, Partner(815) 932-4021
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
400 North Wall St
Ste 504
Kankakee, IL 60901-2965
Phone: (815) 932-4021
Fax: (815) 932-7270
Street-level locationGet directions
Mailing address
400 North Wall St
Kankakee, IL 60901-2965
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.