Kenneth Dale Restor, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209020225 Issued in IL

Practice address

15 Spinning Wheel Rd Ste 30
Hinsdale, IL 60521-7651

Phone

(630) 259-1515

NPI assigned

Jan 13, 2020

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Generations Behavioral Healthcare, P.C.

  • Professional Counselor
  • Hinsdale, IL
  • NPI 1720678725
  NPD Authorized official

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1861032245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8053 KOLMAR AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763114",
            "telephone_number": "847-558-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD STE 30",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605217651",
            "telephone_number": "630-259-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTOR",
        "first_name": "KENNETH DALE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Edward Rejowski, MD
• Rejuvenate Health Inc. (Rejuvenate Health Hinsdale)
• Reliance Physical Therapy PC (Reliance Physical Therapy)
• Remington Il Imaging LLC (Molecular Scans)
• Remington Molecular Schaumburg LLC
• Restoration Healthcare and Aesthetics, PLLC
• Richard J. Brenner, D.D.S., LTD.
• Elizabeth R Richards
• Kristin J Richardson, M.D.
• G Wendell Richmond, M.D.

• Family Nurse Practitioner in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.