Kathryn Margaret Marie Inczaukskis, FNP-BC

Key facts

NPI: 1356979629
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 209020930 (IL)
Practice address: 400 S Kennedy Dr Ste 700
Bradley, IL 60915-2639
Phone: (815) 935-7532
Fax: (815) 935-7495
NPI assigned: Mar 31, 2020
Sex: Female
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Riverside Health System General Practice Physician · Kankakee, IL · NPI 1417061193

Medicare reassignment NPD IL
Riverside Health System Psychiatry Physician · Kankakee, IL · NPI 1336354430

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20200723000171	IL	Practitioner - Nurse Practitioner	5799109740	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
209020930	IL	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Riverside Health System		Current since Sep 4, 2020	Accepting new patients
Riverside Health System		Current since Sep 4, 2020	Accepting new patients

Locations

300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666

400 S Kennedy Dr
Ste 700
Bradley, IL 60915
Phone (815) 935-7532

5775 E State Route 113
Coal City, IL 60416
Phone (815) 634-0100

375 N Wall St
Kankakee, IL 60901
Phone (815) 401-4603

25711 S Egyptian Trl
Monee, IL 60449
Phone (708) 534-7523

1490 E Walnut St
Ste A
Watseka, IL 60970
Phone (815) 432-7693

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	209020930	IL	Yes

Addresses

Primary practice location

400 S Kennedy Dr Ste 700
Bradley, IL 60915-2639

Mailing address

375 N Wall St
Kankakee, IL 60901-3483
Phone (815) 933-2589

Other practice location 1

5775 E State Route 113
Coal City, IL 60416-7111
Phone (815) 634-0100

Other practice location 2

1490 E Walnut St Ste A
Watseka, IL 60970-1833
Phone (815) 432-7693

Other practice location 3

25711 S Egyptian Trl
Monee, IL 60449-8118
Phone (708) 534-7523

Other practice location 4

375 N Wall St
Kankakee, IL 60901-3483
Phone (815) 401-4603

Other names

Miss Kathryn Margaret Marie Lambert Other name

Other providers in Bradley, IL

Emma Howard
Victoria Lynn Huenerberg
Brian Hyma, MA, ATC
Melissa Hyma, PT, MPT
Illinois Bone and Joint Institute, LLC
Insight Wellness Center PLLC
Internal Medicine Associates of Kankakee, LTD
Olatola Omobolanle Iyi-Ojo, MD
Jennifer Lyn James, LCPC
Jamie J. Boudreau, LTD

All providers in Bradley, IL · Family Nurse Practitioner in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.