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Raelene D Kennedy

Surgeon Surgical Critical Care

1725 W Harrison St Ste 810
Chicago , Illinois 60612

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Raelene D Kennedy

Surgeon Surgical Critical Care

1725 W Harrison St Ste 810
Chicago , Illinois 60612

(312) 942-5500

Write a Review Save Call

Raelene D Kennedy

Surgeon Surgical Critical Care

1725 W Harrison St Ste 810
Chicago , Illinois 60612

(312) 942-5500 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Surgeon
  • Surgical Critical Care

Languages spoken

  • English

Location

1725 W Harrison St Ste 810 Chicago , Illinois 60612

First Address

  • Raelene D Kennedy
  • 1725 W Harrison St Ste 810
  • Chicago, IL
  • Zip : 60612-3863
  • Phone : (312) 942-5500

Second Address

  • Raelene D Kennedy
  • 1725 W Harrison St Ste 810
  • Chicago, IL
  • Zip : 60612
  • Phone : (312) 942-5500

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FAQs


Where did Raelene D Kennedy attend graduate school?

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Where did Raelene D Kennedy do her residency?

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Where did Raelene D Kennedy do her fellowship?

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Is Raelene D Kennedy board certified?

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What type of doctor is Raelene D Kennedy

Surgical Critical Care

In what state does Raelene D Kennedy practice in?

Illinois

Where is Raelene D Kennedy ’s practice located?

1725 W Harrison St Ste 810 , Chicago, Illinois, 60612

What is Raelene D Kennedy ’s gender?

Female

Is Raelene D Kennedy a sole practitioner?

No

Is Raelene D Kennedy accepting new patients?

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What languages does Raelene D Kennedy speak?

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Does Raelene D Kennedy accept insurance?

Yes, Raelene D Kennedy accepts insurance

Does Raelene D Kennedy offers telemedicine?

Raelene D Kennedy has not indicated if she offers telemedicine

What is Raelene D Kennedy ’s professional license number?

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What is Raelene D Kennedy ’s NPI number?

1003047267

Does Raelene D Kennedy have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208200000X Surgeon 036-148573 IL
N 208600000X Surgeon 036-148573 IL
Y 2086S0102X Surgical Critical Care 036-148573 IL

National Provider Identifier

NPI 1003047267
Provider Name Raelene D Kennedy
First Address Chicago, IL 60612-3863
Second Address Chicago, IL 60612
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 05/08/2009
Last Update Date 30/08/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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