Active NPI
Rebecca Kendrick, DDS
- Dentist
- West Chicago, IL
National Provider Identifier
1093123226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019029836
- Practice address
- 1933 Franciscan Way
West Chicago, IL 60185-6201 - Phone
- (630) 231-4500
- NPI assigned
- Jul 31, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019029836 | IL | Primary |
Addresses
Primary practice location
1933 Franciscan Way
West Chicago, IL 60185-6201
Mailing address
236 S Madison Ave
La Grange, IL 60525-2342
Phone (708) 699-3967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019029836 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1093123226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 S MADISON AVE",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605252342",
"telephone_number": "708-699-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 FRANCISCAN WAY",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601856201",
"telephone_number": "630-231-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDRICK",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.