Ellen M Hennecke, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

3927 W 95TH St
Evergreen Park, IL 60805-1903

Phone

(708) 952-4566

Fax

(708) 952-4568

NPI assigned

Dec 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Richard E Odonnell DO SC

  • Family Medicine Physician
  • Evergreen Park, IL
  • NPI 1144421017
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699751156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18141 DIXIE HWY",
            "address_2": "STE 107",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302238",
            "telephone_number": "708-799-8440",
            "fax_number": "708-799-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051903",
            "telephone_number": "708-952-4566",
            "fax_number": "708-952-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNECKE",
        "first_name": "ELLEN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01628066",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Health Solutions at Home Inc
• Daniel K. Heenan, CRNA
• Becki Heimerle
• Ginny L Hendricks, M.D.
• Colleen Ann Heniff, M.D.
• Patricia Hespen
• R Glenn Hessel, M.D.
• HGC Therapy LTD.
• Felicia Higgs-Cooper, PHARM.D.
• Highland Park CVS, L.L.C.

• Family Medicine Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.