Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215944855 Individual Practitioner Female Practitioner

Dr. Kenice Anne Broughman , DC

Chiropractor - Nutrition • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kenice Broughman, DC is a registered healthcare professional specializing in Chiropractor - Nutrition in Chicago, IL. Practice services are available at 4555 N LINCOLN AVE under active NPI credentials.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 1-2 spinal regions, chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4555 N Lincoln Ave

Chicago, IL 606252102

Telephone 3867632763
Associated Practice Facility / Clinic
🏢 Active Wellness, Llc Facility NPI 1902162662

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor - Nutrition in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 32.3 Yrs
Regional Practice Density
9 Specialists

Practicing in Chicago, IL (44 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
3.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
155 31 $30.00 $28.46
98941 Chiropractic manipulative treatment, 3-4 spinal regions
98 25 $41.00 $40.40

Medical Specialties & State Licenses

CMS Verified: 2025-01-13
Chiropractor - Nutrition Primary Specialty

NUCC Taxonomy Code: 111NN1001X

State License IL 038.005796

Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.

Chiropractor - Nutrition

NUCC Taxonomy Code: 111NN1001X

State License FL CH0006374

Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000872000 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
NPI 1063584720

Doctor of Chiropractic

Kelly Kirles , LAC

Acupuncturist

NPI 1093170276

Licensed Acupuncturist

NPI 1104644277

Doctor of Chiropractic

NPI 1124880406

Doctor of Chiropractic

NPI 1134964273

Licensed Acupuncturist

NPI 1194074955

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 13, 2025

Registered at 4555 N LINCOLN AVE, CHICAGO, IL 606252102 (Tel: 3867632763)

📍
Updated Business Mailing Address January 13, 2025

Registered at 4555 N LINCOLN AVE, CHICAGO, IL 606252102 (Tel: 7733288153)

👤
Provider Name / Credentials Updated January 13, 2025

Recorded as KENICE BROUGHMAN, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2025

Chiropractor (License #CH0006374 in FL)

NPI Profile Active August 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2016

Registered at 4705 S CLYDE MORRIS BLVD, PORT ORANGE, FL 321294103 (Tel: 3867632763)

📍
Updated Business Mailing Address August 24, 2016

Registered at 4705 S CLYDE MORRIS BLVD, PORT ORANGE, FL 321294103 (Tel: 3867632763)

👤
Provider Name / Credentials Updated August 24, 2016

Recorded as KENICE GRAND, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2016

Chiropractor (License #CH0006374 in FL)

🟢
Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215944855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2006
Last Update: January 13, 2025
Sole Proprietor: No

Mailing Address

4555 N Lincoln Ave

Chicago, IL 606252102

Phone: 7733288153

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.