Provider Demographics
NPI:1144603200
Name:PRICE, KENDALL (DC)
Entity Type:Individual
Prefix:
First Name:KENDALL
Middle Name:
Last Name:PRICE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 BUTTERFIELD RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-8944
Mailing Address - Country:US
Mailing Address - Phone:630-506-8804
Mailing Address - Fax:
Practice Address - Street 1:1311 BUTTERFIELD RD
Practice Address - Street 2:SUITE 109
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-8944
Practice Address - Country:US
Practice Address - Phone:630-506-8804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012814111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor