Individual provider · Type 1 NPI
Kenneth O. Bennett, DC
Chiropractor · Chicago, IL
NPI number
1457345522
Active
Practice location
747 N La Salle Dr Ste 600E
Chicago, IL 60654-5089
Mailing address
6033 N Sheridan Rd Apt 18D
Chicago, IL 60660-3030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038010224 (IL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1457345522
Kenneth O. Bennett, DC's National Provider Identifier is 1457345522, issued on Sep 6, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 19, 2023.