OrganizationInternal Medicine Associates Of Kankakee, LtdInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address400 S Kennedy Dr, Suite 200, Bradley, IL 60915-2682(815) 933-0007PECOS EnrollmentBased on the most recent information from CMS, provider Internal Medicine Associates Of Kankakee, Ltd does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1871530436Provider TypeOrganizationFull NameInternal Medicine Associates Of Kankakee, LtdSubpartNoEnumeration Date6/1/2006Last Updated3/24/2008Contact InformationPractice LocationPractice Address400 S Kennedy Dr, Suite 200, Bradley, IL 60915-2682Phone(815) 933-0007Fax(815) 933-2776Mailing LocationMailing Address400 S Kennedy Dr, Suite 200, Bradley, IL 60915-2682Phone(815) 933-0007Fax(815) 933-2776Authorized OfficialNameHermes, Stephen A (Ceo)Phone(815) 933-0007Provider TaxonomiesCodeDescriptionLicenseCode207RG0300XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerIllinoisProvider IdentifiersIDDescriptionIssuerID174184DescriptionOtherIssuerFEDERAL BLACK LUNGIllinoisID4600191DescriptionOtherIssuerBUE CROSS/BLUE SHIELDIllinoisID5043293DescriptionOtherIssuerAETNAIllinois