Medical Group of Kankakee County

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDICAL GROUP OF KANKAKEE COUNTY

Practice address

692 N. Maple
Herscher, IL 60941

Phone

(815) 426-2020

NPI assigned

Oct 31, 2006

Last updated

Mar 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffery Long, MDNPI 1932284700

Title

Director

Phone

(815) 426-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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.

• Jeffery Long, MD

  • Family Medicine Physician
  • Herscher, IL
  • NPI 1932284700
  Medicare reassignment Care Compare group NPD Authorized official
• Megan Brown, NP-C

  • Family Nurse Practitioner
  • Herscher, IL
  • NPI 1336754167
  Medicare reassignment Care Compare group NPD
• Clyde W. Dayhoff Jr., DO

  • Family Medicine Physician
  • Herscher, IL
  • NPI 1255417382
  Medicare reassignment Care Compare group NPD
• Patrick Hale Long, MD

  • Family Medicine Physician
  • Herscher, IL
  • NPI 1780206094
  Medicare reassignment Care Compare group NPD
• Hashim Raza Zaidi, M.D.

  • Family Medicine Physician
  • Herscher, IL
  • NPI 1821005448
  Medicare reassignment Care Compare group NPD
• Jennifer Christenson, PA

  • Medical Physician Assistant
  • Herscher, IL
  • NPI 1568613412
  Medicare reassignment Care Compare group
• Kristy Patterson, PA

  • Medical Physician Assistant
  • Herscher, IL
  • NPI 1811072663
  Medicare reassignment Care Compare group
• Gerald Kenneth Fleer, MD

  • Gynecology Physician
  • Richland Center, WI
  • NPI 1700946761
  NPD (past)
• Lee Michael Freund, DO

  • Emergency Medicine Physician
  • Ozark, MO
  • NPI 1154367910
  NPD (past)
• Melissa Ann Van Hoof, PA-C

  • Medical Physician Assistant
  • Sellersville, PA
  • NPI 1376628339
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1962588095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 N MAPLE ST",
            "city": "HERSCHER",
            "state": "IL",
            "postal_code": "609419785",
            "telephone_number": "815-426-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 N. MAPLE",
            "city": "HERSCHER",
            "state": "IL",
            "postal_code": "60941",
            "telephone_number": "815-426-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP OF KANKAKEE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-426-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur R Kremer, D.D.S.
• Long Family Development LLC (Harvest View)
• Jeffery Long, MD
• Patrick Hale Long, MD
• Dana M Masching, PHYSICAL THERAPIST
• Kayla Offermann
• Marissa Pasqualetti, PHARMD
• Kristy Patterson, PA
• Pilot Fire Protection District Ambulance Service
• Amy E Wenzelman

• Family Medicine Physician in Herscher, IL
• Providers in Herscher, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.