Individual
EMILY CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
9834 S HAMLIN AVE, EVERGREEN PARK, IL 60805-3363
(708) 921-2300
Mailing address
9834 S HAMLIN AVE, EVERGREEN PARK, IL 60805-3363
(708) 921-2300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.010673
IL
225X00000X
Occupational Therapist
Primary
056010673
IL
Other
Enumeration date
06/25/2015
Last updated
02/20/2019
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