KENNETH O BENNETT (DC) – Chiropractor, NPI 1457345522
Chiropractor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,145 CHIROPRACTIC in IL
Provider Addresses for KENNETH O BENNETT (DC)
747 N LA SALLE DR STE 600E
CHICAGO, IL 606545089
Phone: (312) 692-1867
Type: Location
CVS Pharmacy, 1165, North Clark Street, Gold Coast, Near North Side, Chicago, Cook County, Illinois, 60610, United States
SUITE 602
CHICAGO, IL 606102702
Phone: (312) 787-7222
Fax: (312) 787-7227
Type: Mailing
6033 N SHERIDAN RD APT 18D
CHICAGO, IL 606603030
Phone: (708) 250-1682
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (921 days ago).
Enrollment records
1
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041115001239 | I | Chiropractic | IL | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60654)
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