Connolly, Kevin

Connolly, Kevin is an sole proprietor health care provider with primary practice located at 1 Tiffany Pt Ste 110 , Bloomingdale IL 60108-2915. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Connolly, Kevin can be contacted via phone (773) 981-2972.

Contact Information

Primary practice address
1 Tiffany Pt Ste 110 Bloomingdale IL 60108-2915
Phone: (773) 981-2972
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180009277 Illinois
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 180009277 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180009277 Illinois
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 180009277 Illinois

Profile Details

NPI number 1124419643
LBN Legal business name Connolly, Kevin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2015
Last updated Feb 12th, 2015 - 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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