| Doctor Name: | DR. KENNETH THOMAS PERONA |
| NPI Number: | 1740594951 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.C. |
| License Number: | 038011705 |
| Business Practice Address: | 16101 Weber Rd Crest Hill, IL - 604038812 |
| Business Phone Number: | 8158363799 |
| Business Fax Number: | 8158368799 |
| Mailing Address: | 924 Ridge Sq, Suite 101 ELK GROVE VILLAGE |
| State: | IL |
| Postal Code: | 600074168 |
| Phone Number: | 6303475375 |
| Fax Number: | 8476710685 |
| NPI Enumeration Date: | 07/29/2010 |
| NPI Last Update Date: | 02/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111N00000X |
| License Number: | 038011705 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |