OrganizationActive
Kenilworth Surgery LLC
NPI 1134591191 · Ambulatory Surgical Clinic/Center · Kenilworth, IL
Provider details
- NPI number
- 1134591191
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Geoffrey Fenner, Physician/Owner(847) 716-2400
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
512 Green Bay Rd
Kenilworth, IL 60043-1073
Phone: (847) 716-2400
Fax: (847) 716-2441
Street-level locationGet directions
Mailing address
512 Green Bay Rd
Kenilworth, IL 60043-1073
Other names (DBA / former)
- Doing business as
- Fenner Ambulatory Surgical Center
Registry dates
- Enumerated
- 2015-10-29
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.