Connelly, Ashlee

Connelly, Ashlee is an individual health care provider with primary practice located at 16505 106Th Ct , Orland Park IL 60467-4545. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Connelly, Ashlee can be contacted via phone (708) 364-1550.

Contact Information

Primary practice address
16505 106Th Ct Orland Park IL 60467-4545
Phone: (708) 364-1550
Fax: (708) 364-1468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209010813 Illinois

Profile Details

NPI number 1376971911
LBN Legal business name Connelly, Ashlee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2013
Last updated Oct 16th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376971911 NPPES
Illinois Other 209010813 STATE OF ILLINOIS

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