Organization
INTEGRATED PHYSICAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT JOSEPH KENNY DC (OWNER)
(815) 717-8355
Entity
Organization
Contact information
Practice address
2499 E JOLIET HWY, NEW LENOX, IL 60451-2592
(815) 717-8355
(815) 717-8416
Mailing address
2499 E JOLIET HWY, NEW LENOX, IL 60451-2592
(815) 717-8355
(815) 717-8416
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.010761
IL
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/23/2010
Last updated
03/01/2022
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