Individual provider · Type 1 NPI

Nicole Kennebeck, PA-C

Physician Assistant · Chicago, IL

NPI number 1013680321 Active

Practice location

251 E Huron St Fl 14
Chicago, IL 60611-2908

Call (312) 926-9843 Map

Fax (312) 926-8119

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085008879 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1013680321

Nicole Kennebeck, PA-C's National Provider Identifier is 1013680321, issued on Aug 1, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 9, 2026.