Individual
JOHN T CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2499 E JOLIET HWY, UNIT112, NEW LENOX, IL 60451-2592
(815) 462-9420
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
096001107
IL
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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