Connolly, Laura Lee

Connolly, Laura Lee is an individual health care provider with primary practice located at 3 Westbrook Corporate Ctr Ste 1000, Westchester IL 60154-5703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Connolly, Laura Lee can be contacted via phone (708) 343-3566.

Contact Information

Primary practice address
3 Westbrook Corporate Ctr Ste 1000 Westchester IL 60154-5703
Phone: (708) 343-3566
Fax: (708) 343-9235
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085002150 Illinois

Profile Details

NPI number 1255398558
LBN Legal business name Connolly, Laura Lee
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Nov 16th, 2009 - about 16 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 1255398558 NPPES
Illinois MEDICAID 085002150

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