Individual
KENNETH O BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
747 N LA SALLE DR STE 600E, CHICAGO, IL 60654-5089
(312) 692-1867
Mailing address
6033 N SHERIDAN RD APT 18D, CHICAGO, IL 60660-3030
(708) 250-1682
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010224
IL
Other
Enumeration date
09/06/2005
Last updated
06/19/2023
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