IndividualActive
Katherine Kennelly, APN
NPI 1366858409 · Nurse Practitioner · Chicago, IL
Provider details
- NPI number
- 1366858409
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209010738 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
225 E Chicago Ave
Mailstop 69
Chicago, IL 60611-2991
Phone: (312) 227-4000
Street-level locationGet directions
Mailing address
1016 S Scoville Ave
Oak Park, IL 60304-2128
Registry dates
- Enumerated
- 2014-07-09
- Last updated
- 2020-04-21
- Certified
- 2020-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.