Kennedy Family Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KENNEDY FAMILY CHIROPRACTIC, LLC

Practice address

1220 W Ogden Ave Ste D
Naperville, IL 60563-3977

Phone

(630) 384-9305

NPI assigned

Sep 3, 2019

Organization subpart

No

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

Authorized official

Name

Susan Kennedy, DCNPI 1982257150

Title

Managing Member

Phone

(773) 357-6411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Kennedy, DC

  • Chiropractor
  • Naperville, IL
  • NPI 1982257150
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1013565902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875246",
            "telephone_number": "630-384-9305",
            "fax_number": "630-384-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W OGDEN AVE STE D",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633977",
            "telephone_number": "630-384-9305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "60187",
            "country_code": "US",
            "telephone_number": "630-384-9305",
            "fax_number": "630-384-9305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENNEDY FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "773-357-6411",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Kelps
• Maursharee C Kemp
• Kaitlin Kendall, DPT
• Rebecca Kenealy, R.N.
• Jennifer Susan Kenneavy, LCSW
• Kennedy Psychological Services LLC
• Josephine B Kennedy, PSY.D.
• Meghan T Kennedy, PSYD
• Susan Kennedy, DC
• Kenneth H Peterson DDS LTD

• Chiropractor in Naperville, IL
• Providers in Naperville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.