Individual
KELLY LYNN CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 N ASHLAND AVE, CHICAGO, IL 60614-0851
(773) 270-5600
Mailing address
369 W GRAND AVE APT 2604, CHICAGO, IL 60654-4547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7476-23
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2023
Last updated
08/29/2025
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