Med Peds Associates

Practice location

Address

375 N Wall St STE P520, Kankakee, IL 60901-3493

Phone

(815) 933-0194

Fax

(815) 933-1444

Authorised official

Name

Direndia Shackelford

Title

Managed Care Specialist

Phone

(800) 654-0889

Registered specialties

Registry record

NPI

1649353970

Entity type

Organization

NPI issued

23 Oct 2006

Record last updated

3 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.