Individual
DR. COLLEEN ANNE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1141 55TH ST, DOWNERS GROVE, IL 60515-4812
(630) 963-5029
(630) 297-8372
Mailing address
1141 55TH ST, DOWNERS GROVE, IL 60515-4812
(630) 963-5029
(630) 297-8372
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038004218
IL
111NN1001X
Nutrition Chiropractor
038004218
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215206
BCBS
IL
01
—
038004218
ILLINOIS LICENSE NUMBER
IL
Enumeration date
12/18/2006
Last updated
10/15/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us