Kelly E Bunn, DC LMT

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013538 Issued in IL

Practice address

404 S 2ND St
St Charles, IL 60174-2867

Phone

(630) 618-2137

NPI assigned

Jun 11, 2020

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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.

• Chiro One Wellness Center of Raleigh Hills LLC

  • Chiropractor
  • Portland, OR
  • NPI 1588360895
  Medicare reassignment NPD
• Growing Wellness LLC

  dba Growing Wellness

  • Chiropractor
  • St Charles, IL
  • NPI 1477121846
  NPD

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1942825245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9309 NE 37TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986655323",
            "telephone_number": "630-730-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S 2ND ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742867",
            "telephone_number": "630-618-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNN",
        "first_name": "KELLY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buffy Cramer-Hammann PC
• Judith Renee Bugh, M.A., CCC-SLP
• Elizabeth Anne Bugliarello-Wondrich, M.A. EDUCATION, BCBA
• Timothy R. Buhrt, PSY.D.
• Elsa Bukantis
• Burger Drugs Inc
• Lisa Anne Burger, OTR
• Katherine Burgess
• Cassy J Burke, RDN, LDN
• Margaret Burke, RD, LDN

• Chiropractor in St Charles, IL
• Providers in St Charles, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.