OrganizationActive
Cpc Surgical Suite LLC
NPI 1538719778 · Pain Medicine (Anesthesiology) Physician · Kankakee, IL
Provider details
- NPI number
- 1538719778
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Kelly, Doctor(815) 929-1520
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
555 W Court St Ste 100
Kankakee, IL 60901-3673
Phone: (815) 929-1520
Fax: (815) 614-3029
Street-level locationGet directions
Mailing address
555 W Court St Ste 100
Kankakee, IL 60901-3673
Registry dates
- Enumerated
- 2019-09-19
- Last updated
- 2020-03-16
- Certified
- 2020-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.