K W Hunnemeder, DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

03800365 Issued in IL

Legal business name

K W HUNNEMEDER, DC PC

Practice address

4211 Grove Ave
Gurnee, IL 60031-2134

Phone

(847) 249-5200

Fax

(847) 249-5204

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth William Hunnemeder, DC

Title

Chiropractor

Phone

(847) 249-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1457551772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 GROVE AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312134",
            "telephone_number": "847-249-5200",
            "fax_number": "847-249-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 GROVE AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312134",
            "telephone_number": "847-249-5200",
            "fax_number": "847-249-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K W HUNNEMEDER, DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "HUNNEMEDER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "847-249-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "03800365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0004982027",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.