It runs from the intersection of U.S. Route 136 and Illinois Route 1 east of Henning to State Road 28 at the Indiana state line, well west of Williamsport, Indiana.

The highway heads east through farmland and crosses the North Fork Vermilion River.

South of Alvan, the road turns southward, paralleling a CSX Transportation line.

[4] SBI Route 119 originally traveled from Heyworth (at the present-day intersection of US 51 and US 136) to the Indiana state line using US 136 and IL 119.

[2] The entire route is in South Ross Township, Vermilion County.