Organization Active NPI

Kankakee County Health Departmetn

  • Public Health or Welfare Agency
  • Kankakee, IL
National Provider Identifier
1386813848
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
KANKAKEE COUNTY HEALTH DEPARTMETN
Practice address
2390 W Station St
Kankakee, IL 60901-3000
Phone
(815) 937-3565
NPI assigned
Feb 28, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Bonnie J Schaafsma, BSN, MBA
Title
Public Health Administrator
Phone
(815) 937-3560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X IL Primary

Addresses

Primary practice location

2390 W Station St
Kankakee, IL 60901-3000

Mailing address

2390 W Station St
Kankakee, IL 60901-3000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386813848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 W STATION ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 W STATION ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013000",
            "telephone_number": "815-937-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANKAKEE COUNTY HEALTH DEPARTMETN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHAAFSMA",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PUBLIC HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "815-937-3560",
        "authorized_official_credential": "BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "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 Jul 21, 2022; 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.