Provider Demographics
NPI:1821038753
Name:TORRENS, KENNETH J (DC)
Entity Type:Individual
Prefix:
First Name:KENNETH
Middle Name:J
Last Name:TORRENS
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 1:360 W BUTTERFIELD RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5068
Mailing Address - Country:US
Mailing Address - Phone:630-941-8661
Mailing Address - Fax:630-941-9016
Practice Address - Street 1:360 W BUTTERFIELD RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5068
Practice Address - Country:US
Practice Address - Phone:630-941-8661
Practice Address - Fax:630-941-9016
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5237111N00000X
IL038-006888111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor