# EDWARD A CONNOLLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750369419
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 036093095 | IL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | 28464 | IA | — |

## Other

- **Enumeration date:** 01/04/2006
- **Last updated:** 03/18/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 028389 | HEALTH ALLIANCE | — |
| 05 | — | 036093095 | — | IL |
| 01 | — | 05353 | WELLMARK | — |
| 01 | — | 18604 | MIDLANDS CHOICE | — |
| 05 | — | 1917237 | — | IA |
| 01 | — | 200029113 | RR MEDICARE | — |
| 01 | — | 20170 | IA HEALTH SOLUTIONS | — |
| 01 | — | 8121085 | BCBS | IL |
| 01 | — | 99717 | WELLMARK | — |
| 01 | — | 99728 | WELLMARK | — |
| 01 | — | IA0194 | JOHN DEERE FAMILY | — |
| 01 | — | IL0174 | JOHN DEERE FAMILY | — |