Connolly, Colette Bernadette

Connolly, Colette Bernadette is an sole proprietor health care provider with primary practice located at 1901 W Harrison St , Chicago IL 60612-3714. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Connolly, Colette Bernadette can be contacted via phone (773) 869-5648.

Contact Information

Primary practice address
1901 W Harrison St Chicago IL 60612-3714
Phone: (773) 869-5648
Fax: (773) 869-3632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X Illinois

Profile Details

NPI number 1811019391
LBN Legal business name Connolly, Colette Bernadette
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Jul 8th, 2007 - about 17 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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