Susan Kennedy, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013398 Issued in IL

Practice address

1220 W Ogden Ave Ste D
Naperville, IL 60563-3977

Phone

(773) 357-6411

NPI assigned

Jul 17, 2019

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 IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kennedy Family Chiropractic, LLC

  • Chiropractor
  • Naperville, IL
  • NPI 1013565902
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1982257150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 MARYKNOLL CIR",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376139",
            "telephone_number": "773-405-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W OGDEN AVE STE D",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633977",
            "telephone_number": "773-357-6411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601875246",
            "country_code": "US",
            "telephone_number": "630-384-9305",
            "fax_number": "630-384-9305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SUSAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Susan Kenneavy, LCSW
• Kennedy Family Chiropractic, LLC
• Kennedy Psychological Services LLC
• Josephine B Kennedy, PSY.D.
• Meghan T Kennedy, PSYD
• Kenneth H Peterson DDS LTD
• Karen Kerasotes Kerfoot, MSOM, L. AC.
• Luciana Estela Kerkemeyer
• Christopher Brock Kessler, D.C.
• Rose Kessler, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.