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Kevin M Henry

  • Male

Medical Specialty

Professional ID

  • NPI: 1063490183
  • PECOS ID: 0749293512
  • Enrollment ID: I20060720000368
  • Credential(MD, DO, DPM): MD
  • Medical School: Wayne State University School Of Medicine
  • Medical School Graduation Year: 1998

Hospital Service

  • Hospital CCN1: 140120
  • Business Name (LBN)1: Pekin Memorial Hospital
  • Hospital CCN2: 140013
  • Business Name (LBN)2: Proctor Hospital
  • Hospital CCN3: 140067
  • Business Name (LBN)3: Saint Francis Medical Center
  • Hospital CCN4: 030119
  • Business Name (LBN)4: Mercy Gilbert Medical Center
  • Hospital CCN5: 030130
  • Business Name (LBN)5: Banner Ironwood Medical Center

Medical Practices

  • Organization Name: Illinois Regional Pain Institute, S.c.
  • Group Practice ID assigned by PECOS: 5496768269
  • Number of Group Practice member: 7

Location

  • Address1: 2355 Broadway St
  • Address2:
  • City: Pekin
  • State: Illinois
  • Zip Code: 61554
  • Phone Number: (309)682-7246

Location

  • Address1: 5401 N Knoxville Ave
  • Address2: Suite 416
  • City: Peoria
  • State: Illinois
  • Zip Code: 61614
  • Phone Number: (309)692-7246

Medical Practices

  • Organization Name: Regional Pain Institute Llc
  • Group Practice ID assigned by PECOS: 6406074897
  • Number of Group Practice member: 3

Location

  • Address1: 36453 N Gantzel Rd
  • Address2: Suite 101
  • City: San Tan Valley
  • State: Arizona
  • Zip Code: 85140
  • Phone Number: (480)636-1225

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR): Yes