Robert S Kenneke, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

038007145 Issued in IL

Practice address

1255 W Empire St
Freeport, IL 61032-6100

Phone

(815) 232-1100

Fax

(815) 232-1100

NPI assigned

Oct 26, 2005

Last updated

Jul 31, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Robert S Kenneke DC PC

  • Chiropractor
  • Freeport, IL
  • NPI 1710182738
  Authorized official Same address or phone
• Family Health Quest, SC

  • Physical Therapist
  • Freeport, IL
  • NPI 1396803771
  NPD (past)
• KCP Enterprises, LLC

  dba Family Health Quest

  • Chiropractor
  • Freeport, IL
  • NPI 1962650978
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1457341901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W EMPIRE ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326100",
            "telephone_number": "815-232-1100",
            "fax_number": "815-232-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W EMPIRE ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326100",
            "telephone_number": "815-232-1100",
            "fax_number": "815-232-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEKE",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038007145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen a Kruse LCSW PC
• Mariah Anne Katzenberger-Huneke, OD
• KCP Enterprises, LLC (Family Health Quest)
• Kempel Enteprises, Inc
• Renate Kenca-Aulner
• Kenneth S Stone DPM
• Ryan Michael Kerr, RDN
• Azim J Khan, MD
• Farhan A Khan, MD
• Brooke King

• Sports Physician Chiropractor in Freeport, IL
• Providers in Freeport, IL by specialty
• Sports Physician Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.