Kenneth Jude, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

9760 Soreng Ave
Schiller Park, IL 60176-2105

Phone

(847) 671-1816

NPI assigned

Jun 3, 2020

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

Other names 1

• Mr. Ken Jude Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Schiller Park District 81

  • Local Education Agency (LEA)
  • Schiller Park, IL
  • NPI 1891811964
  NPD (past)

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1891319968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 PAUL AVE",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601392683",
            "telephone_number": "630-681-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9760 SORENG AVE",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601762105",
            "telephone_number": "847-671-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDE",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjude@sd81.org",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9760 Soreng Ave",
            "city": "Schiller Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601762105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KEN",
            "last_name": "JUDE",
            "prefix": "MR.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heart to Heart Hospice Corp
• Jaclyn Hood
• Tuong Van Huynh, PHARMD
• J Wynveen
• J.I. Advanced Mobile Ultrasound.LTD
• Elizabeth Kosek
• Adam Kupiec, PHARM.D.
• Miroslaw A Kuptel, MD
• Sheila Leen, APN-BC
• Andrzej Lewandowski, CCC-SLP, MHS

• Physical Therapist in Schiller Park, IL
• Providers in Schiller Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.