Active NPI
Prime Healthcare Associates, Inc.
- Public Health & General Preventive Medicine Physician
- Kankakee, IL
National Provider Identifier
1043109754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 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 DirectoryLocations
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
- Presence Central and Suburban Hospitals Network (Presence St. Mary's Hospital)
- Presence Heritage Day Break
- Presence Home Care (Presence Home Care - Kankakee)
- Presence Life Connections (Ascension Living Heritage Village)
- Presence St. Mary Hospital (Heart Failure Clinic)
- Prime Healthcare Home Care and Hospice, LLC (Prime Home Care - Kankakee)
- Prime Healthcare Living - Heritage Village LLC
- Prime Healthcare Living - Resurrection Place LLC
- Prime Healthcare Senior Living, LLC (Heritage Village)
- McKenna Rose Printy, APRN, FNP-BC
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.