Search › Illinois › 222Q00000X
Kelly Connolly
NPI 1316239890 · on the registry since 2011 · sole proprietor
Practice
- Address
- 10416 S Tripp Ave
Oak Lawn, IL 60453 - Phone
- (708) 634-2703
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Also registered as
- 222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-05-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois