Kankakee Autism Care Therapy is a
Clinic/center - Adolescent And Children Mental Health based in Kankakee, Illinois. Kankakee Autism Care Therapy is licensed to practice in * (Not Available) (license number ) and their current practice location is
249 S Schuyler Ave Fl 2, Kankakee, Illinois. It can be reached at their office (for appointments etc.) via phone at
(815) 272-6478.
NPI number for Kankakee Autism Care Therapy is 1740154855 and their current mailing address is 35334 Washington St, Custer Park, Illinois. Kankakee Autism Care Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1740154855.
Healthcare Provider's Profile
| Full Name | Kankakee Autism Care Therapy |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Adolescent And Children Mental Health |
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| Location | 249 S Schuyler Ave Fl 2, Kankakee, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740154855
- Provider Enumeration Date: 10/01/2025
- Last Update Date: 01/22/2026
Medical Identifiers
Medical identifiers for Kankakee Autism Care Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740154855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 2355S0801X | Specialist/technologist - Speech-language Assistant | (* (Not Available)) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kankakee Autism Care Therapy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kankakee Autism Care Therapy 35334 Washington St, Custer Park, IL 60481-9157 Ph: (815) 272-6478 | Kankakee Autism Care Therapy 249 S Schuyler Ave Fl 2, Kankakee, IL 60901-3884 Ph: (815) 272-6478 |
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