Kennedy Medical Service Corp

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

KENNEDY MEDICAL SERVICE CORP

Practice address

175 E Delaware PL
Suite 5024
Chicago, IL 60611-1756

Phone

(312) 504-0438

NPI assigned

Dec 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lofton Kennedy Jr., M.D.NPI 1770533838

Title

Ceo

Phone

(312) 504-0438

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lofton Kennedy Jr., MD

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1770533838
  Authorized official Same address or phone
• Rita J McGuire, M.D.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1780634733
  NPD (past)
• Bruce Sylvester Smith, M.D.

  • Obstetrics & Gynecology Physician
  • Streator, IL
  • NPI 1063437150
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003975442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E DELAWARE PL",
            "address_2": "SUITE 5024",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111756",
            "telephone_number": "312-504-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E DELAWARE PL",
            "address_2": "SUITE 5024",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111756",
            "telephone_number": "312-504-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY MEDICAL SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "LOFTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-504-0438",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Kening, DO
• Sonya Kenkare, M.D.
• Nicole Kennebeck, PA-C
• Darlene Denise Kennebrew, APN CNM
• Kennedy J Transportation Inc
• Kathleen Cecelia Kennedy-Wood
• Adam S Kennedy
• April R Kennedy, M.D.
• Caitlin Kennedy, PT, DPT
• Catharine Margaret Kennedy, D.D.S

• Obstetrics & Gynecology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.