OrganizationActive
Kankakee Internal Medicine Group
NPI 1942450366 · Internal Medicine Physician · Tinley Park, IL
Provider details
- NPI number
- 1942450366
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sunil Shah, President(630) 952-1412
- License
- 0361058 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
7641 Newfield Ln
Tinley Park, IL 60487-5539
Phone: (630) 952-1412
Fax: (630) 952-1447
Street-level locationGet directions
Mailing address
7641 Newfield Ln
Tinley Park, IL 60487-5539
Registry dates
- Enumerated
- 2008-09-22
- Last updated
- 2008-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.