Individual
MRS. ELLEN ELIZABETH CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9700 S CASS AVE, LEMONT, IL 60439-4803
(630) 252-2800
Mailing address
11237 LAURA LN, FRANKFORT, IL 60423-8193
(630) 890-9982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014206
IL
Other
Enumeration date
02/23/2012
Last updated
11/07/2016
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