Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenilworth Surgery LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1134591191

Kenilworth Surgery LLC is an Ambulatory Surgical Clinic/Center in Kenilworth, Illinois. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

512 Green Bay Rd
Kenilworth, IL 60043-1073
Phone: (847) 716-2400
Fax: (847) 716-2441
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1134591191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffrey Fenner — Physician/Owner · (847) 716-2400
Other names Fenner Ambulatory Surgical Center
NPI enumeratedOctober 29, 2015
Last updated in NPPESJuly 21, 2022
Mailing address512 Green Bay Rd, Kenilworth, IL 60043-1073