Individual provider Active NPI

Ena Elizabeth Hennegan, DO

  • Family Medicine Physician
  • Rolling Meadows, IL
National Provider Identifier
1407851470
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036104573 Issued in IL
Practice address
1941 Rohlwing Rd
Rolling Meadows, IL 60008-1338
Phone
(847) 618-0850
Fax
(847) 618-0859
NPI assigned
Jun 16, 2005
Last updated
Apr 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036104573 IL Primary

Addresses

Primary practice location

1941 Rohlwing Rd
Rolling Meadows, IL 60008-1338

Mailing address

1941 Rohlwing Rd
Rolling Meadows, IL 60008-1338
Phone (847) 618-0850

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehennegan11764@direct.nch.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000190 IL Practitioner - Family Practice 9032248497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

1051 W Rand Rd
Arlington Heights, IL 60004-2315

1200 W Algonquin Rd
Palatine, IL 60067-7373
Phone (847) 618-0535

1941 Rohlwing Rd
Rolling Meadows, IL 60008-1338
Phone (847) 618-0850

2650 Ridge Ave
Evanston, IL 60201-1700

5999 New Wilke Rd
Suite 200
Rolling Meadows, IL 60008-4502
Phone (847) 618-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036104573ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Services Inc Family Medicine CurrentSince Sep 1, 2011 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 17, 2023 Accepting new patients
Northwest Community Health Services Inc CurrentSince Sep 1, 2011 Accepting new patients
Endeavor Health Medical Group Family Medicine Current Accepting new patients

Locations

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1700 W Central Rd
Ste 140
Arlington Hts, IL 60005
Phone (312) 259-6200

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

25233 Network Pl
Chicago, IL 60673

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

1941 Rohlwing Rd
Rolling Meadows, IL 60008
Phone (847) 618-0850

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1407851470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 ROHLWING RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081338",
            "telephone_number": "847-618-0850",
            "fax_number": "847-618-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 ROHLWING RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081338",
            "telephone_number": "847-618-0850",
            "fax_number": "847-618-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEGAN",
        "first_name": "ENA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036104573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehennegan11764@direct.nch.org",
            "affiliation": "N",
            "address_1": "1941 Rohlwing Rd",
            "city": "Rolling Meadows",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600081338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

Verify at the official NPI Registry.