Individual provider Active NPI

Kevin T Krenek, NP-C

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1093995565
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
PENDING Issued in TN
Practice address
360 W Hubbard St Apt 411
Chicago, IL 60654-5607
Phone
(615) 429-0649
NPI assigned
Nov 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X PENDING TN Primary
Family Nurse Practitioner 363LF0000X 209009450 IL

Addresses

Primary practice location

360 W Hubbard St Apt 411
Chicago, IL 60654-5607

Mailing address

360 W Hubbard St Apt 411
Chicago, IL 60654-5607
Phone (615) 429-0649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120510000615 IL Practitioner - Nurse Practitioner 7113002973 Reassigns benefits to 2 organizations
I20141217000371 TX Practitioner - Nurse Practitioner 7113002973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

121 W N Ave
Chicago, IL 60610-1315
Phone (312) 643-5606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
PENDINGTNMDOccupational Therapy Assistant
209009450ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Ross Gunter MD Inc CurrentSince Jan 1, 2015 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Jun 9, 2025 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Jun 9, 2025 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

1663 Belvidere Rd
Belvidere, IL 61008
Phone (815) 544-0040

121 W North Ave
Chicago, IL 60610
Phone (312) 643-5606

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

5228 N Northwest Hwy
Chicago, IL 60630
Phone (773) 770-4707

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

416 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 979-1112

205 S Northwest Hwy
Ste 120
Park Ridge, IL 60068
Phone (847) 292-5200

200 N Lutterloh Ave
Gatesville, TX 76528
Phone (661) 949-0004

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1093995565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W HUBBARD ST APT 411",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545607",
            "telephone_number": "615-429-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W HUBBARD ST APT 411",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545607",
            "telephone_number": "615-429-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENEK",
        "first_name": "KEVIN",
        "middle_name": "T",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "PENDING",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.