Kennedy, Colleen Anne

Kennedy, Colleen Anne is an sole proprietor health care provider with primary practice located at 1141 55Th St , Downers Grove IL 60515-4812. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Nutrition, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is her primary health care specialty. Kennedy, Colleen Anne can be contacted via phone (630) 963-5029.

Contact Information

Primary practice address
1141 55Th St Downers Grove IL 60515-4812
Phone: (630) 963-5029
Fax: (630) 297-8372
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X 038004218 Illinois
Chiropractic Providers / Chiropractor 111N00000X 038004218 Illinois

Profile Details

NPI number 1982767299
LBN Legal business name Kennedy, Colleen Anne
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Oct 15th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982767299 NPPES
Illinois Other 02215206 BCBS
Illinois Other 038004218 BCBS

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