Individual
DR. MICHAEL L. CONNOLLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6200 N HIAWATHA AVE, SUITE 650, CHICAGO, IL 60646-4309
(773) 286-9700
Mailing address
6200 N HIAWATHA AVE, SUITE 650, CHICAGO, IL 60646-4309
(773) 286-9700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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