JEANINE CONNOLLY (NPI# 1346203064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346203064 |
| Entity Type | Individual |
| Full Name | JEANINE CONNOLLY |
| Credential | MD |
| Practice Address |
2320 High St Blue Island IL 60406-2426 |
| Practice Telephone | 7083885500 |
| Practice Fax Number | 7083885672 |
| Mailing Telephone | 7083885500 |
| Mailing Fax Number | 7083885672 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2011-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
036104880 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | P00156797 | 01 |
| IL | 036104880 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417456369 | Jeanine Marie Connolly | Specialist/Technologist | 295 Old Oak St, Pembroke, MA 02359-1955 | 2018-02-06 |
| Street Address |
2320 HIGH ST |
| City | BLUE ISLAND |
| State | IL |
| Zip Code | 60406-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823093 | Holly A Clark | Nurse Practitioner | 2320 High St, Blue Island, IL 60406-2426 | 2005-10-05 |
| 1801273362 | Jaydeep Khudai | Family Medicine | 2320 High St, Blue Island, IL 60406-2426 | 2015-05-04 |
| 1902249105 | Syed A Ahmed | Podiatrist | 2320 High St, Blue Island, IL 60406-2426 | 2013-04-08 |
| 1073899548 | Jaclyn L Mis | Physician Assistant | 2320 High St, Blue Island, IL 60406-2426 | 2011-10-28 |
| 1215240981 | Stefanie A Drozd | Nurse Practitioner | 2320 High St, Blue Island, IL 60406-2426 | 2010-07-22 |
| 1003132549 | Vikas Desai | Urology | 2320 High St, Blue Island, IL 60406-2426 | 2010-04-08 |
| 1497983928 | Noreen B Keleher | Physician Assistant | 2320 High St, Blue Island, IL 60406-2426 | 2009-06-23 |
| 1558502245 | Alfonso Mejia-zelaya | Obstetrics & Gynecology | 2320 High St, Blue Island, IL 60406-2426 | 2009-03-10 |
| 1932349040 | Francisco Pereiro | Family Medicine | 2320 High St, Blue Island, IL 60406-2426 | 2009-03-02 |
| 1740438050 | Sophia A Macarol | Physician Assistant | 2320 High St, Blue Island, IL 60406-2426 | 2008-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
| 1609438738 | Maisha Safford | Developmental Therapist | 2262 W. 120th Place, Blue Island, IL 60406 | 2019-06-28 |
| 1891279709 | Renjith Thomas | Physical Therapy Assistant | Therapy Department, 1546 W Water Stret, Blue Island, IL 60406 | 2018-09-18 |
| 1982182994 | Lifehouse Health Group,llc | Clinic/Center | 14127 Levitt Ave, Dixmoor, IL 60406 | 2018-08-01 |
| 1063923159 | Sarah Lynn Presser | Speech-Language Pathologist | 2975 W Broadway, Blue Island, IL 60406 | 2017-10-17 |
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
| 1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
| 1700299658 | Daniel Ahrens | Optometrist | 13114 S Western Ave, Blue Island, IL 60406 | 2014-06-09 |
| Find all providers in zip 60406 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558988345 | Bashir Holdings | Internal Medicine | 210 N Hammes Ave Ste 110, Joliet, IL 60435-6688 | 2020-06-29 |
| 1336611409 | Keith E Gilmer | Internal Medicine | 850 N Dewitt Pl Apt 10g, Chicago, IL 60611-7312 | 2018-12-29 |
| 1245643618 | Jean Lin | Internal Medicine | 240 E Huron St # M300, Chicago, IL 60611-2909 | 2014-06-03 |
| 1922445097 | Josna Haritha | Internal Medicine | 5841 S. Maryland Avenue, #0930, Chicago, IL 60637 | 2013-05-30 |
| 1255776860 | Alexander Geevarghese | Internal Medicine | 27650 Ferry Rd Ste 210, Warrenville, IL 60555-3846 | 2013-05-08 |
| 1285078766 | Sheela Metgud | Internal Medicine | 9000 Waukegan Rd Ste 200, Morton Grove, IL 60053-2127 | 2013-04-26 |
| 1043551500 | Nisha Dsilva | Internal Medicine | 10 Martin Ave Ste 140, Naperville, IL 60540 | 2013-03-08 |
| 1255694675 | Heena Aditya Birbal Jain | Internal Medicine | 1701 Curtis Rd., Rheumatology, Champaign, IL 61822-9678 | 2012-06-20 |
| 1215296215 | Beenish Nazir Hafiz | Internal Medicine | 751 N Rutledge St Ste 2300, Springfield, IL 62702-4968 | 2012-05-10 |
| 1699921353 | Anna A. Stanislaus | Internal Medicine | 801 N Cass Ave Ste 150, Westmont, IL 60559-1121 | 2008-08-13 |
| Find all providers with the same taxonomy | ||||
| City | BLUE ISLAND |
| Zip Code | 60406 |
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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.