Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700377033 Individual Practitioner Male Practitioner

Dr. Julian Henderson , MD

Surgery • Kankakee, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Julian Henderson, MD is a certified Surgery practicing in Kankakee, IL. With approximately 8 years of clinical experience since graduating from Eastern Virginia Medical School in 2018, Dr. Henderson delivers high-quality medical care to the local community at 555 W COURT ST STE 214.

Dr. Henderson is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

555 W Court St Ste 214

Kankakee, IL 609013674

Telephone 8159286131

Medicare Profile & Education

Medical School

Eastern Virginia Medical School

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Kankakee, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -11.0 yrs vs City Avg
City Avg: 19.0 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Kankakee, IL (1624 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Henderson (8 Years) 8 Yrs
Kankakee Specialty Average (19.0 Years) 19.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-09-09
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036165552

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License RI LP04240

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License IL 036165552

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

5668 E State St, Rockford, IL 611082464

Phone: 8153977900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Claudia Crumrine

Physician Assistant - Surgical

NPI 1629797089
Ruju Trivedi

Physician Assistant

NPI 1710680459
NPI 1720570971

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 09, 2024

Registered at 555 W COURT ST STE 214, KANKAKEE, IL 609013674 (Tel: 8159286131)

📍
Updated Business Mailing Address September 09, 2024

Registered at 555 W COURT ST STE 214, KANKAKEE, IL 609013674 (Tel: 8159286131)

NPI Profile Active May 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2018

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014445471)

📍
Updated Business Mailing Address May 22, 2018

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014445471)

👤
Provider Name / Credentials Updated May 22, 2018

Recorded as JULIAN HENDERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2018

Surgery (License #LP04240 in RI)

🟢
Initial NPI Registration & Enumeration May 22, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700377033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2018
Last Update: September 09, 2024
Sole Proprietor: Yes

Mailing Address

555 W Court St Ste 214

Kankakee, IL 609013674

Phone: 8159286131

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.