Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780915595 Individual Practitioner Male Practitioner

Kenneth Boggs , CO

Orthotist • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Kenneth Boggs, CO is a registered healthcare professional specializing in Orthotist in Chicago, IL. Practice services are available at 345 E SUPERIOR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

345 E Superior St
Suite 1764

Chicago, IL 606112654

Telephone 1322382810
Fax 3122381932
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthotist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Chicago, IL (57 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthotist Primary Specialty

NUCC Taxonomy Code: 222Z00000X

State License IL 213000065

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Kelly Lee , CP

Prosthetist

NPI 1427389634

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 18, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2010

Registered at 345 E SUPERIOR ST, SUITE 1764, CHICAGO, IL 606112654 (Tel: 1322382810)

📍
Updated Business Mailing Address January 18, 2010

Registered at 2712 W FARWELL AVE, CHICAGO, IL 606454515 (Tel: 7739721136)

👤
Provider Name / Credentials Updated January 18, 2010

Recorded as KENNETH BOGGS, CO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2010

Orthotist (License #213000065 in IL)

🟢
Initial NPI Registration & Enumeration January 18, 2010

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: 1780915595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2010
Last Update: January 18, 2010
Sole Proprietor: Yes

Mailing Address

2712 W Farwell Ave

Chicago, IL 606454515

Phone: 7739721136

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

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