John Connolly, RPT

NPI 1801914361 · on the registry since 2007

Practice

Address: 700 E Walnut St
Bloomington, IL 61701
Phone: (309) 827-8004
Organisation at this address: Heritage Enterprises, Inc
Heritage Enterprises, Inc.
Goldwater Care Bloomington Llc
Goldwater Care Bloomington Llc
Heritage Manor Bloomington, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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