Individual
DR. ROBERT CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 FEDERAL RD, BROOKFIELD, CT 06804-2037
(203) 775-6365
(203) 740-3010
Mailing address
1913 W NORTH AVE, CHICAGO, IL 60622-1316
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-109804
IL
207R00000X
Internal Medicine Physician
Primary
65250
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-109804
—
IL
Enumeration date
06/06/2006
Last updated
08/12/2020
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