Organization Active NPI

Prime Healthcare Associates, Inc.

  • Public Health & General Preventive Medicine Physician
  • Kankakee, IL
National Provider Identifier
1043109754
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
PRIME HEALTHCARE ASSOCIATES, INC.
Practice address
1 Dearborn SQ Ste 639
Kankakee, IL 60901-3932
Phone
(815) 573-5168
Fax
(815) 573-5188
NPI assigned
Jun 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christian Okezie, DR
Title
Owner
Phone
(815) 573-5168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

1 Dearborn SQ Ste 639
Kankakee, IL 60901-3932

Mailing address

1 Dearborn SQ Ste 639
Kankakee, IL 60901-3932
Phone (815) 573-5168

National Provider Directory

National Provider Directory

Locations

1 Dearborn Sq
Ste 639
Kankakee, IL 60901
Phone (815) 573-5168

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1043109754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DEARBORN SQ STE 639",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013932",
            "telephone_number": "815-573-5168",
            "fax_number": "815-573-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEARBORN SQ STE 639",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013932",
            "telephone_number": "815-573-5168",
            "fax_number": "815-573-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "OKEZIE",
        "authorized_official_first_name": "DR. CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-573-5168",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.