Kenwood Healthcare Center

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0033589 Issued in IL

Legal business name

KENWOOD HEALTHCARE CENTER

Practice address

6125 S Kenwood Ave
Chicago, IL 60637-2818

Phone

(847) 982-2300

Fax

(847) 982-2304

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Moe Herman

Title

Comptroller

Phone

(847) 982-2300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1316112063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 S KENWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606372818",
            "telephone_number": "847-982-2300",
            "fax_number": "847-982-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 S KENWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606372818",
            "telephone_number": "847-982-2300",
            "fax_number": "847-982-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENWOOD HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "MOE",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "847-982-2300"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "0033589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Kenter, PA-C
• Laiken Peterson Kentnich, MS, CGC
• Kenton Diagnostics, Inc
• Kimberly Kenton, MD
• Kenwood Dental Group
• Kenwood Village Nursing and Rehabilitation Center, LLC
• Brandy Kenworthy, LCSW
• Robert Kenyon
• Kenzmi Health
• Golie Roshandel Keovan, O.D.

• Oxygen Equipment & Supplies (DME) in Chicago, IL
• Providers in Chicago, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.