Trisha Andrews, MD
Individual provider Active NPI Internal Medicine Physician · Kankakee, IL
NPI 1023747664 · NPPES record last updated Mar 31, 2025
Key facts
- NPI
- 1023747664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35.152988 (OH)
- Practice address
- 350 N Wall St
Kankakee, IL 60901-2901 - Phone
- (815) 933-1671
- NPI assigned
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.152988 | OH | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 35.152988 | OH | Yes |
Addresses
Primary practice location
350 N Wall St
Kankakee, IL 60901-2901
Mailing address
350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 933-1671
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All providers in Kankakee, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.