# INTERNAL MEDICINE SPECIALISTS OF KANKAKEE SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528193430
- **Authorized official:** DR. VALLABH PATEL M.D. (PRESIDENT)
- **Authorized official phone:** (815) 932-4614

## Contact information

- **Practice address:** 555 W COURT ST STE 400, KANKAKEE, IL 60901-3675
- **Practice address phone:** (815) 932-4614
- **Practice address fax:** (815) 932-4615
- **Mailing address:** 555 W COURT ST STE 400, KANKAKEE, IL 60901-3675
- **Mailing address phone:** (815) 932-4614
- **Mailing address fax:** (815) 932-4615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 03/18/2011