Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELLEN M HENNECKE DO
NPI 1699751156
Family Medicine in Evergreen Park, IL

Q: What is Ellen Hennecke's NPI number?

The NPI number for Ellen Hennecke is 1699751156. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Q: What is Ellen Hennecke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Hennecke was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 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 December 16, 2005

3927 W 95TH ST, EVERGREEN PARK, IL 60805(708) 952-4566(708) 952-4568 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ellen M Hennecke Do NPPES

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

ELLEN M HENNECKE DO (NPI 1699751156) is an individual family medicine provider in Evergreen Park, Illinois and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1699751156

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELLEN M HENNECKECredential: DO

Location Address3927 W 95TH STEvergreen Park, IL 60805-1903

Mailing Address18141 Dixie Hwy, Ste 107Homewood, IL 60430-2238 · (708) 799-8440 · Fax (708) 799-8446

Phone(708) 952-4566

Fax(708) 952-4568

Sole ProprietorNo

Enumeration DateDecember 16, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1699751156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3927 W 95TH ST, Evergreen Park, IL 60805

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Other Identifiers 1

Other01628066IL · Blue Shield

Other Providers at the Same Location NPPES 2

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

RICHARD E ODONNELL DO SC

Family Medicine

3927 W 95TH ST
EVERGREEN PARK, IL 60805

Cook County (708) 799-8440

ELLEN M HENNECKE DOSC

Family Medicine

3927 W 95TH ST
EVERGREEN PARK, IL 60805

Cook County (708) 799-8440

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 Ellen Hennecke's NPI number?

The NPI number for Ellen Hennecke is 1699751156. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Ellen Hennecke located?

Ellen Hennecke practices at 3927 W 95th St, Evergreen Park, IL 60805. The listed phone number is (708) 952-4566.

What is Ellen Hennecke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ellen Hennecke was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 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.