Kenneth O Bennett, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010224 Issued in IL

Practice address

747 N la Salle Dr Ste 600E
Chicago, IL 60654-5089

Phone

(312) 692-1867

NPI assigned

Sep 6, 2005

Sex

Male

Sole proprietor

Yes

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

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Grateful Health and Wellness Center, PLLC

  • Chiropractor
  • Chicago, IL
  • NPI 1285418095
  Medicare reassignment NPD Authorized official
• Community Chiropractic Corp.

  • Chiropractor
  • Shorewood, IL
  • NPI 1740274927
  NPD (past)

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1457345522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 N SHERIDAN RD APT 18D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603030",
            "telephone_number": "708-250-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 N LA SALLE DR STE 600E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545089",
            "telephone_number": "312-692-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "KENNETH",
        "middle_name": "O",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Bennett, M.D.
• Ellen Bennett
• Gabrielle Elizabeth Anne Bennett, LSW
• Honor Bennett, MS, CCC-SLP
• Jennifer Bennett
• Latoi Bennett, LSW
• Leah Bennett, RD
• Maddie Bennett
• Marc H Bennett, OTRL
• Margaret Bennett

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.