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MR. WARREN K KENNEDY PA-C
NPI 1083898290
Physician Assistant - Medical in Great Lakes, IL

Active since December 24, 2007PECOS Enrolled
3420 ILLINOIS ST, GREAT LAKES, IL 60088(847) 688-2522 Get Directions Write a Review

NPPES record last updated: December 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Warren K Kennedy Pa-c NPPES

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

MR. WARREN K KENNEDY PA-C (NPI 1083898290) is an individual medical provider in Great Lakes, Illinois and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083898290
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. WARREN K KENNEDYCredential: PA-C
Location Address3420 ILLINOIS STGreat Lakes, IL 60088-3120
Mailing Address3420 Illinois StreetGreat Lakes, ID 60088-1312 · (847) 688-2522
Phone(847) 688-2522
Sole ProprietorNo
Enumeration DateDecember 24, 2007
✔ NPI 1083898290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
3420 ILLINOIS ST, Great Lakes, IL 60088
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Warren K Kennedy Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY J BAKER DPT
Physical Therapist
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Lake County (847) 688-6755
TOMASZ BOLTRUCZYK FNP-C
Nurse Practitioner (Family)
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Lake County (847) 688-5568
MR. WILLIAM HARRELD PETERSON PA-C
Physician Assistant
3420 ILLINOIS ST, USS TRANQUILITY MEDICAL CLINIC 1007
GREAT LAKES, IL 60088
Lake County (847) 688-6755
DR. JASON YUNGSUP KIM MD
Family Medicine
3420 ILLINOIS ST, USS TRANQUILLITY CLINIC 1007
GREAT LAKES, IL 60088
Lake County (847) 688-6755
JAMES A LOVELL FHCC
Military/U.S. Coast Guard Pharmacy
3420 ILLINOIS ST, USS TRANQUILITYAH14 MED CLN 1017
GREAT LAKES, IL 60088
Lake County (847) 688-2100
DR. NEMESIA FIGUERAS ARTATES M.D.
General Practice
3420 ILLINOIS ST
GREAT LAKES, IL 60088
Lake County (847) 688-6755
DR. JOHN E. DALTON PH.D.
Psychologist (Clinical)
3420 ILLINOIS ST, REU, BUILDING 1007
GREAT LAKES, IL 60088
Lake County (847) 688-7406
JAMES A LOVELL FHCC
Military/U.S. Coast Guard Pharmacy
3420 ILLINOIS ST, AH14 MEDICAL CLINIC
GREAT LAKES, IL 60088
Lake County (847) 688-7406

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 Warren Kennedy's NPI number?

The NPI number for Warren Kennedy is 1083898290. It was assigned to this individual provider in the NPPES registry on December 24, 2007.

Where is Warren Kennedy located?

Warren Kennedy practices at 3420 Illinois St, Great Lakes, IL 60088. The listed phone number is (847) 688-2522.

What is Warren Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Warren Kennedy enrolled in Medicare?

Yes. Warren Kennedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Warren Kennedy was last updated on December 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.