Organization Active NPI

Care Connect of Illinois Providers PLLC

  • Internal Medicine Physician
  • Kewanee, IL
National Provider Identifier
1790620995
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARE CONNECT OF ILLINOIS PROVIDERS PLLC
Practice address
519 Elliott St Ste S1
Kewanee, IL 61443-2776
Phone
(309) 525-0703
NPI assigned
Apr 22, 2026
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Michael Ahearn, MDNPI 1184687717
Title
Owner
Phone
(309) 525-0703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

519 Elliott St Ste S1
Kewanee, IL 61443-2776

Mailing address

456 Fulton St Ste 360
Peoria, IL 61602-1289
Phone (309) 525-0703

National Provider Directory

National Provider Directory

Locations

418 S Memorial Park Rd
Newman, IL 61942
Phone (217) 837-2421

456 Fulton St
Ste 360
Peoria, IL 61602

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1790620995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 FULTON ST STE 360",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021289",
            "telephone_number": "309-525-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 ELLIOTT ST STE S1",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614432776",
            "telephone_number": "309-525-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CONNECT OF ILLINOIS PROVIDERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-22",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "AHEARN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-525-0703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kewanee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.