Individual
HELENE CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., FACEP
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-062746
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062746
—
IL
Enumeration date
07/17/2006
Last updated
04/06/2021
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