Conneely, Eileen

Conneely, Eileen is an sole proprietor health care provider with primary practice located at 14711 S Ravinia Ave , Orland Park IL 60462-3100. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Conneely, Eileen can be contacted via phone (708) 226-0555.

Contact Information

Primary practice address
14711 S Ravinia Ave Orland Park IL 60462-3100
Phone: (708) 226-0555
Fax: (708) 226-0555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1033430 Illinois

Profile Details

NPI number 1811424948
LBN Legal business name Conneely, Eileen
Credentials RD,LD, CPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2017
Last updated May 19th, 2017 - about 9 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 1811424948 NPPES
Illinois Other 1033430 COMMISSION ON DIETETIC REGISTRATION

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