KENNETH O BENNETT (NPI# 1457345522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457345522 |
| Entity Type | Individual |
| Full Name | KENNETH O BENNETT |
| Credential | DC |
| Practice Address |
1165 N Clark St Suite 602 Chicago IL 60610-2702 |
| Practice Telephone | 3127877222 |
| Practice Fax Number | 3127877227 |
| Mailing Telephone | 3127877222 |
| Mailing Fax Number | 3127877227 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE SHIELD | 04915367 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427234947 | Kenneth Charles Bennett | Prosthetic/Orthotic Supplier | 68 Michigan Ave E, Battle Creek, MI 49017-4011 | 2008-01-15 |
| 1023150901 | Kenneth Alvin Bennett Jr. | Social Worker | 610 S Industrial Blvd, Suite 307, Euless, TX 76040-5048 | 2007-02-13 |
| 1528257698 | Kenneth J Bennett | Specialist | 1040 N Mason Rd, Ste G-03, St Louis, MO 63141 | 2007-10-15 |
| 1548460975 | Kenneth E Bennett | Social Worker | 510 Francis St, Suite 200, Saint Joseph, MO 64501-1769 | 2007-07-24 |
| 1043254253 | Kenneth R. Bennett | Internal Medicine | 2500 North State Street, Department of Medicine Division of Cardiology, Jackson, MS 39216-4500 | 2006-06-16 |
| 1942254263 | Kenneth W Bennett | Anesthesiology | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2006-05-20 |
| Street Address |
1165 N CLARK ST SUITE 602 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728951 | Donna Ptasinski | Nurse Practitioner | 1165 N Clark St, Chicago, IL 60610-2702 | 2020-07-27 |
| 1154793347 | Daniel Helgerman | Chiropractor | 1165 N Clark St, Suite 602, Chicago, IL 60610-2702 | 2015-10-27 |
| 1982088498 | Caitlin Nelson | Marriage & Family Therapist | 1165 N Clark St, Suite 411, Chicago, IL 60610 | 2015-07-14 |
| 1013314269 | A. Lawrence Therapy, P.c | Counselor | 1165 N Clark St, Suite 202, Chicago, IL 60610-2702 | 2014-12-02 |
| 1164869608 | Diane M Miller | Counselor | 1165 N Clark St, Suite 202, Chicago, IL 60610-2702 | 2013-05-23 |
| 1447524897 | Virginia Parker Archer | Counselor | 1165 N Clark St, Suite 413, Chicago, IL 60610-2702 | 2012-03-02 |
| 1720350820 | Klinkhamer Counseling Inc. | Social Worker | 1165 N Clark St, Suite 202, Chicago, IL 60610-2702 | 2012-02-03 |
| 1487923512 | Gorey Family Counseling, Ltd. | Counselor | 1165 N Clark St, Suite 202, Chicago, IL 60610-2702 | 2011-12-19 |
| 1861786402 | Innerwork Chicago LLC | Counselor | 1165 N Clark St, Suite 202, Chicago, IL 60610-7862 | 2011-05-31 |
| 1760791917 | Melissa J Richardson | Nurse Practitioner | 1165 N Clark St, Chicago, IL 60610-2702 | 2010-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| Find all providers in zip 60610 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1104448547 | Katie Niebur | Chiropractor | 6909 W Medill Ave, Chicago, IL 60707-2910 | 2020-05-07 |
| 1063031003 | Bazan's Health Center Inc | Chiropractor | 4012 W 63rd St, Chicago, IL 60629-4606 | 2020-04-09 |
| 1346875861 | Christopher A Haslett Dc P.c | Chiropractor | 400 N Wells St Ste 300, Chicago, IL 60654-2761 | 2020-03-04 |
| 1245870138 | Be Well Chiropractic Clinics LLC | Chiropractor | 3648 W Montrose Ave Apt 2e, Chicago, IL 60618-1979 | 2020-01-08 |
| 1982242186 | Michael Tal Risher | Chiropractor | 2378 N Elston Ct, Chicago, IL 60614-2929 | 2019-12-18 |
| 1821632423 | Rachel Nicole Leibovitz | Chiropractor | 624 W Belmont Ave, Chicago, IL 60657-4511 | 2019-11-06 |
| 1053954180 | Aaron Alexander Bryant | Chiropractor | 125 N Halsted St Ste 202, Chicago, IL 60661-2160 | 2019-10-22 |
| 1073156238 | Omar A. Bleibel | Chiropractor | 4801 W Peterson Ave Ste 505, Chicago, IL 60646-5795 | 2019-10-21 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.