OrganizationActive
Medical Group of Kankakee County
NPI 1962588095 · Family Medicine Physician · Herscher, IL
Provider details
- NPI number
- 1962588095
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffery Long, Director(815) 426-2020
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
692 N. Maple
Herscher, IL 60941
Phone: (815) 426-2020
Street-level locationGet directions
Mailing address
692 N Maple St
Herscher, IL 60941-9785
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2015-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.