JOANNE FRANCES CONNOLLY (NPI# 1366544249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366544249 |
| Entity Type | Individual |
| Full Name | JOANNE FRANCES CONNOLLY |
| Credential | M.D. |
| Practice Address |
633 Emerson St Evanston IL 60208-4000 |
| Practice Telephone | 8474918100 |
| Practice Fax Number | 8474915919 |
| Mailing Telephone | 8474918100 |
| Mailing Fax Number | 8474915919 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
36-082618 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316499593 | Joanne Connolly | Registered Nurse | 20 Central Ave, Lynn, MA 01901-1201 | 2016-11-03 |
| Street Address |
633 EMERSON ST |
| City | EVANSTON |
| State | IL |
| Zip Code | 60208-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952395659 | Lisa Reeder | Internal Medicine | 633 Emerson St, Evanston, IL 60208-0844 | 2005-09-08 |
| 1891321188 | Meghan Mckeever | Registered Nurse | 633 Emerson St, Evanston, IL 60208-0844 | 2020-03-18 |
| 1376010678 | Teresa Michelle Kikugawa | Specialist/Technologist | 633 Emerson St, Evanston, IL 60208-0844 | 2018-10-25 |
| 1962911131 | Rebecca Heneghan | Pharmacist | 633 Emerson St, Evanston, IL 60208-0844 | 2017-09-20 |
| 1619378940 | Amber Marie Parish | Pharmacist | 633 Emerson St, Evanston, IL 60208-0844 | 2014-09-05 |
| 1265798813 | Tony Purkal | Emergency Medical Technician, Basic | 633 Emerson St, Evanston, IL 60208-0844 | 2012-04-09 |
| 1225303712 | Natalie Kramer | Specialist/Technologist | 633 Emerson St, Evanston, IL 60208-0844 | 2012-03-15 |
| 1710276696 | Bettina Ute Bohle-frankel | Psychiatry & Neurology | 633 Emerson St, Caps, Evanston, IL 60208-0844 | 2011-03-31 |
| 1447557723 | Northwestern University | Clinic/Center | 633 Emerson St, Evanston, IL 60208-4000 | 2011-02-22 |
| 1245536192 | Pamela W Hazard | Psychiatry & Neurology | 633 Emerson St, Evanston, IL 60208-4000 | 2011-02-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437128089 | Courtney Jones | Specialist/Technologist | 1501 Central St., Evanston, IL 60208 | 2006-03-16 |
| 1467456004 | Bridget A Hannum | Nurse Practitioner | Northwestern University 633 Emerson, Evanston, IL 60208 | 2005-06-10 |
| 1891947727 | Catherine Anne Fabian | Audiologist | 2315 Campus Dr, Evanston, IL 60208 | 2008-10-22 |
| 1417487471 | Jack Scott | Audiologist | 2315 Campus Drive Nucasll, Evanston, IL 60208-0001 | 2017-06-13 |
| 1588038699 | Robin Lynn Dodds | Developmental Therapist | Center for Audiology Speech Language And, Northwestern University 2315 Campus Drive, Evanston, IL 60208-0001 | 2015-12-01 |
| 1831565936 | Natalie Morales | Specialist/Technologist | 2255 Campus Drive, Evanston, IL 60208-0001 | 2015-08-12 |
| 1750612115 | Northwestern University Intercollegiate Sports Medicine | Clinic/Center | 2703 Ashland Ave, Northwestern University Sports Medicine, Evanston, IL 60208-0001 | 2010-01-26 |
| 1609927417 | Kimberly A Seipel-carrow | Pediatrics | Northwestern University Health Services, 633 Emerson, Evanston, IL 60208-0001 | 2007-01-16 |
| 1114551793 | Peter Ritz | 2255 Campus Drive, Evanston, IL 60208-0001 | 2020-02-24 | |
| 1912395336 | Susan Taber Mulhern | Speech-Language Pathologist | 2315 Campus Dr, Evanston, IL 60208-0001 | 2015-01-07 |
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| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1447446257 | Farah Tazeen | Internal Medicine | 1 S 161 Summit Ave., Oak Brook Terrace, IL 60181-3904 | 2007-09-15 |
| 1114142643 | Christina B Nulty | Internal Medicine | 912 N Elmwood Ave, Peoria, IL 61625-0001 | 2007-04-17 |
| 1679665020 | Lynessa A Alonso | Internal Medicine | 10 Saint Clare Ct, Washington, IL 61571-9239 | 2006-09-29 |
| 1447273859 | Samir Shah M.d.s.c | Internal Medicine | 3560 W 95th St, Evergreen Park, IL 60805-2107 | 2006-07-26 |
| 1194248914 | Mohamed Ihtesham Shaji | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2017-07-24 |
| 1679969182 | Greg D Ewert Md Sc | Internal Medicine | 200 S Michigan Ave, Suite 805, Chicago, IL 60604-2402 | 2015-04-10 |
| 1437599867 | Shakuntala Sachin Patil | Internal Medicine | 611 W Park St, Carle Forum Ll, Urbana, IL 61801-2500 | 2013-06-29 |
| 1487993911 | Eilis Ryan | Internal Medicine | 6500 W 65th St, Chicago, IL 60638-4962 | 2013-02-04 |
| 1831496322 | Capital Health Inc | Internal Medicine | 7107 W Belmont Ave, Suite 8, Chicago, IL 60634-4688 | 2011-02-17 |
| 1356507834 | Woodridgeclinic S.c | Internal Medicine | 805 S Main St, Lombard, IL 60148-3300 | 2008-08-04 |
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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.