Kankakee County Health Dept

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

KANKAKEE COUNTY HEALTH DEPT

Practice address

2390 W Station St
Kankakee, IL 60901-3000

Phone

(815) 802-9392

Fax

(815) 802-9391

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Bonnie J Schaafsma, RN, BSN, MBA

Title

Public Health Administrator

Phone

(815) 802-9393

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1700925930",
    "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",
            "telephone_number": "815-802-9392",
            "fax_number": "815-802-9391"
        },
        {
            "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": "815-802-9392",
            "fax_number": "815-802-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANKAKEE COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2012-05-03",
        "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": "815-802-9393",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366006594001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kankakee Area Pharmacy Inc
• Kankakee Area Special Education Coop
• Kankakee Area Special Education Cooperative
• Kankakee Autism Care Therapy
• Kankakee County Health Departmetn
• Kankakee Dental PLLC
• Kankakee Emergency Physicians LLC
• Kankakee Family Medicine
• Kankakee Il CVS LLC
• Kankakee Pain Surgical Suite, LLC

• All providers in Kankakee, IL
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.