DR. KEVIN M. CONNOLLY (NPI# 1073731808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073731808 |
| Entity Type | Individual |
| Full Name | DR. KEVIN M. CONNOLLY |
| Credential | D.C. |
| Practice Address |
900 Jorie Blvd Suite 104 Oak Brook IL 60523-2213 |
| Practice Telephone | 6305740422 |
| Practice Fax Number | 6305741002 |
| Mailing Telephone | 6305740422 |
| Mailing Fax Number | 6305741002 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2013-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038-006475 | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457373391 | Kevin F Connolly | Psychiatry & Neurology | 404-b Black Hills Ln Sw, Olympia, WA 98502-8148 | 2006-07-23 |
| 1649233560 | Kevin Patrick Connolly | Family Medicine | Psc 76 Box 4861, Apo, AP 96319-0027 | 2006-04-11 |
| 1710502182 | Kevin Connolly | Student in an Organized Health Care Education/Training Program | 15 E Chestnut St, Augusta, ME 04330-5736 | 2020-06-11 |
| 1841848744 | Kevin James Connolly | Speech-Language Pathologist | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2019-09-04 |
| 1699260737 | Kevin Connolly | Physician Assistant | 326 Washington St, Norwich, CT 06360-2740 | 2018-06-29 |
| 1104352764 | Kevin Connolly | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2017-05-02 |
| 1215314257 | Kevin Patrick Connolly | Pediatrics | 2823 Fresno St, Fresno, CA 93721-1324 | 2015-04-28 |
| 1124419643 | Kevin Connolly | Counselor | 1 Tiffany Pt Ste 110, Bloomingdale, IL 60108-2915 | 2015-02-06 |
| 1841633948 | Kevin Connolly | Internal Medicine | 1310 Las Tablas Rd Ste 103, Templeton, CA 93465 | 2013-04-09 |
| 1821229360 | Kevin Mark Connolly | Psychologist | 1500 E Woodrow Wilson Ave, (116a2), Jackson, MS 39216-5116 | 2009-07-31 |
| Street Address |
900 JORIE BLVD SUITE 104 |
| City | OAK BROOK |
| State | IL |
| Zip Code | 60523-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251160 | Antranik S Poladian | Pediatrics | 900 Jorie Blvd, Oak Brook, IL 60523 | 2005-08-03 |
| 1629525985 | Shelley Pier, Msw, Lcsw | Social Worker | 900 Jorie Blvd, Suite 36, Oak Brook, IL 60523-2213 | 2016-09-03 |
| 1376804864 | Physician Services At Home S.c | Internal Medicine | 900 Jorie Blvd, Suite # 58c, Oak Brook, IL 60523-2213 | 2012-05-31 |
| 1487940417 | Prompt Care Diagnostics Inc | Clinic/Center | 900 Jorie Blvd, Ste 14-4, Oak Brook, IL 60523-2213 | 2011-06-28 |
| 1083807606 | Shelley Gallivan | Nurse Practitioner | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2007-08-27 |
| 1982802864 | Prasanna Kumar Turaka | Pediatrics | 900 Jorie Blvd, Oak Brook, IL 60523-2213 | 2007-07-03 |
| 1609990894 | Katerji Pediatric Neurology & Assoc | Pediatrics | 900 Jorie Blvd, Suite 220, Oak Brook, IL 60523-3846 | 2007-03-16 |
| 1831223973 | Rohitkumar Vasa | Pediatrics | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2007-03-14 |
| 1346392750 | Terri L. Russell | Nurse Practitioner | 900 Jorie Blvd, #186, Oak Brook, IL 60523-2213 | 2007-01-17 |
| 1366594624 | Karen Rose Schultz | Social Worker | 900 Jorie Blvd, Ste 234, Oak Brook, IL 60523 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358630 | Jennifer Renee Earnest | Counselor | 2526 Butterfield Road, Suite 138s, Oakbrook, IL 60523 | 2020-02-12 |
| 1881244614 | Meredith Elise Osborne | Pain Medicine | Joint Relief Institute, 600 22nd Street, Oak Brook, IL 60523 | 2019-09-13 |
| 1811450349 | Jessica A Kras | Physical Therapist | 2011 York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1356804876 | Derek M Jones | Physical Therapist | 2011 N. York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1013439975 | Lydia Schatzel | Counselor | 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 | 2017-07-12 |
| 1821537358 | The Anxiety Treatment Center - Western Suburbs, LLC | Counselor | 1100 Jorie Blvd, 227, Oak Brook, IL 60523 | 2017-02-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1154877850 | Sandhya Jayaram Shetty | Specialist/Technologist, Other | 1420 Kensington Rd., 201, Oak Brook, IL 60523 | 2016-09-01 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1851753636 | Pallan Primary Care Ltd S C | Family Medicine | 2425 W 22nd St Ste 211, Oak Brook, IL 60523 | 2016-03-22 |
| Find all providers in zip 60523 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641283 | Jessica Rae Holland | Chiropractor | 2625 Butterfield Rd Ste 301n, Oak Brook, IL 60523-1266 | 2019-07-24 |
| 1639527153 | Legendary Life, Ltd | Chiropractor | 2603 W 22nd St, Suite 17, Oak Brook, IL 60523-1213 | 2016-05-25 |
| 1972930121 | Kristy Alexandra Cada | Chiropractor | 2210 Camden Ct Ste 1e, Oak Brook, IL 60523 | 2013-10-02 |
| 1225328644 | Integrative Health of Chicago | Chiropractor | 1315 W 22nd St Ste 110, Oak Brook, IL 60523-2060 | 2011-04-19 |
| 1497062483 | Eric Ryan Schaid | Chiropractor | 2021 Midwest Rd Ste 100e, Oak Brook, IL 60523-1484 | 2010-09-11 |
| 1316111610 | Connolly Chiropractic, Inc. | Chiropractor | 900 Jorie Blvd., Suite 104, Oak Brook, IL 60523-3816 | 2008-04-17 |
| 1003927914 | Matthew Ryan Greenberg | Chiropractor | 1100 Jorie Blvd Ste 318, Oak Brook, IL 60523-2242 | 2006-08-31 |
| 1356459440 | Dr Coral Youker PC | Chiropractor | 2605 W 22nd St, Suite 37, Oak Brook, IL 60523 | 2006-08-28 |
| 1376552182 | Philip E Claussen | Chiropractor | 1000 Jorie Blvd, Suite 120, Oak Brook, IL 60523 | 2006-08-08 |
| 1255362620 | Aimee Hamilton | Chiropractor | 1315 W 22nd St, Ste. #110, Oak Brook, IL 60523-2057 | 2006-07-05 |
| Find all providers in OAK BROOK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.