Healthcare Provider Details

I. General information

NPI: 1386579209
Provider Name (Legal Business Name): KENNEDY ARIE TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 N ADDISON AVE
ELMHURST IL
60126-2809
US

IV. Provider business mailing address

1241 WESLEY AVE
BERWYN IL
60402-1009
US

V. Phone/Fax

Practice location:
  • Phone: 866-673-5278
  • Fax:
Mailing address:
  • Phone: 773-531-0212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: