Individual
DANIEL CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(312) 770-2172
Mailing address
8378 DUNMORE DR, TINLEY PARK, IL 60487-4496
(630) 254-9624
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.010854
IL
Other
Enumeration date
11/21/2013
Last updated
07/26/2016
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