Kennedy, Raelene D

Kennedy, Raelene D is an individual health care provider with primary practice located at 1725 W Harrison St Ste 810 , Chicago IL 60612. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Kennedy, Raelene D can be contacted via phone (312) 942-5500.

Contact Information

Primary practice address
1725 W Harrison St Ste 810 Chicago IL 60612
Phone: (312) 942-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 036-148573 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-148573 Illinois

Profile Details

NPI number 1003047267
LBN Legal business name Kennedy, Raelene D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2009
Last updated Aug 30th, 2019 - about 6 years ago

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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