Healthcare Provider Details

I. General information

NPI: 1396602678
Provider Name (Legal Business Name): JOHN ROBERT STEARNS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 W WATER ST
KANKAKEE IL
60901-4811
US

IV. Provider business mailing address

509 W WATER ST
KANKAKEE IL
60901-4811
US

V. Phone/Fax

Practice location:
  • Phone: 618-559-7029
  • Fax:
Mailing address:
  • Phone: 618-559-7029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.118508
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: