KEVIN CONNOLLY (NPI# 1124419643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124419643 |
| Entity Type | Individual |
| Full Name | KEVIN CONNOLLY |
| Practice Address |
1 Tiffany Pt Ste 110 Bloomingdale IL 60108-2915 |
| Mailing Address |
1617 Lake Ave Wilmette IL 60091-1535 |
| Practice Telephone | 7739812972 |
| Mailing Telephone | 7739812972 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
180009277 | IL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
180009277 | IL | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
180009277 | IL | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 180009277 | IL | Behavioral Health & Social Service 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 |
| 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 |
| 1073731808 | Kevin M. Connolly | Chiropractor | 900 Jorie Blvd, Suite 104, Oak Brook, IL 60523-2213 | 2007-04-24 |
| Street Address |
1 TIFFANY PT STE 110 |
| City | BLOOMINGDALE |
| State | IL |
| Zip Code | 60108-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922236835 | Syed Ali Imran Bokhari | Psychiatry & Neurology | 1 Tiffany Pt Ste 110, Bloomingdale, IL 60108-2915 | 2009-06-30 |
| 1922651496 | Lisa Salvadore Lcsw, Cadc Ltd | Social Worker | 1 Tiffany Pt Ste 110, Bloomingdale, IL 60108-2915 | 2019-07-23 |
| 1134603046 | Nirmal Dass | Nurse Practitioner | 1 Tiffany Pt Ste 110, Bloomingdale, IL 60108-2915 | 2018-09-18 |
| 1881119600 | Michelle Singer | Counselor | 1 Tiffany Pt Ste 110, Bloomingdale, IL 60108-2915 | 2017-08-14 |
| 1689051112 | Advance Clinical Lab Inc | Clinical Medical Laboratory | 1 Tiffany Pt Ste 110, Bloomingdale, IL 60108-2915 | 2015-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
| 1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
| 1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
| 1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
| 1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| Find all providers in zip 60108 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659916799 | Stacy Morales | Counselor | 5313 Avalon Way, Bloomingdale, NJ 07403-2253 | 2019-11-13 |
| 1154885119 | Dawn Fuller | Counselor | 1 James Ave, Bloomingdale, NJ 07403-1316 | 2019-01-24 |
| 1548785264 | Kelsey Ruffing | Counselor | 132 W Lake St # 11, Bloomingdale, IL 60108-1020 | 2017-08-03 |
| 1497276331 | Stephanie Coutts | Counselor | 125 Fairfield Way Ste 290, Bloomingdale, IL 60108-1598 | 2017-06-30 |
| 1417338526 | Rebecca Adamowski | Counselor | 1 Tiffany Pt Ste G9, Bloomingdale, IL 60108-2951 | 2015-06-15 |
| 1942580626 | Michael S Lang | Counselor | 1 Tiffany Pt Ste 210, Bloomingdale, IL 60108 | 2011-08-25 |
| 1033428677 | Scott Andrew Mcgill | Counselor | 45 Knolls Rd, Bloomingdale, NJ 07403-1547 | 2010-09-30 |
| 1316127731 | Spring Meadows Home Health Care LLC | Counselor | 113 Fairfield Way, Suite 204, Bloomingdale, IL 60108-2116 | 2007-11-14 |
| 1447379268 | Patricia K Scott | Counselor | 148 S Bloomingdale Rd, Suite 112, Bloomingdale, IL 60108 | 2007-03-29 |
| 1093871089 | Joyce Nadine Nelson | Counselor | 255 Lakeshore Lane, Bloomingdale, IL 60108 | 2006-12-28 |
| Find all providers in BLOOMINGDALE | ||||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
Please comment or provide details below to improve the information on KEVIN CONNOLLY.
| 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.