Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KENNEDY GREEN
NPI 1063326114
Student in an Organized Health Care Education/Training Program in Flossmoor, IL

Q: What is Kennedy Green's NPI number?

The NPI number for Kennedy Green is 1063326114. It was assigned to this individual provider in the NPPES registry on September 28, 2026.

Q: What is Kennedy Green's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kennedy Green was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 28, 2026

9 HAMPTON CT, FLOSSMOOR, IL 60422(773) 504-4607 Get Directions Write a Review

NPPES record added: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Kennedy Green NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY GREEN (NPI 1063326114) is an individual student in an organized health care education/training program in Flossmoor, Illinois, licensed in Illinois (041562216) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1063326114

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKENNEDY GREEN

Location Address9 HAMPTON CTFlossmoor, IL 60422-2293

Mailing Address9 Hampton CtFlossmoor, IL 60422-2293 · (773) 504-4607

Phone(773) 504-4607

Sole ProprietorNo

Enumeration DateSeptember 28, 2026

NPPES CertifiedSeptember 28, 2026

✔ NPI 1063326114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in IL · 041562216

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9 HAMPTON CT, Flossmoor, IL 60422

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Green's NPI number?

The NPI number for Kennedy Green is 1063326114. It was assigned to this individual provider in the NPPES registry on September 28, 2026.

Where is Kennedy Green located?

Kennedy Green practices at 9 Hampton Ct, Flossmoor, IL 60422. The listed phone number is (773) 504-4607.

What is Kennedy Green's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kennedy Green was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.