DR. KENNETH MARK SISTINO D.C.
NPI 1508149691
Chiropractor in Chicago, IL

Active since September 24, 2011
2229 W CHICAGO AVE, CHICAGO, IL 60622(773) 862-4500(773) 862-4517 Get Directions Write a Review

NPPES record last updated: September 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Mark Sistino D.c. NPPES

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

DR. KENNETH MARK SISTINO D.C. (NPI 1508149691) is an individual chiropractor in Chicago, Illinois, licensed in Illinois (038-006195) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1508149691
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KENNETH MARK SISTINOCredential: D.C.
Location Address2229 W CHICAGO AVEChicago, IL 60622-4828
Mailing Address2229 W Chicago AveChicago, IL 60622-4828 · (773) 862-4500 · Fax (773) 862-4517
Fax(773) 862-4517
Sole ProprietorYes
Enumeration DateSeptember 24, 2011
NPI 1508149691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038-006195
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2229 W CHICAGO AVE, Chicago, IL 60622

Other Identifiers 1

Medicare UPINV05225

Other Providers at the Same Location NPPES

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

Chiropractor (Rehabilitation)
2229 W CHICAGO AVE
CHICAGO, IL 60622

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 Kenneth Sistino's NPI number?

The NPI number for Kenneth Sistino is 1508149691. It was assigned to this individual provider in the NPPES registry on September 24, 2011.

Where is Kenneth Sistino located?

Kenneth Sistino practices at 2229 W Chicago Ave, Chicago, IL 60622. The listed phone number is (773) 862-4500.

What is Kenneth Sistino's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Sistino was last updated on September 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.