Connolly Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CONNOLLY CHIROPRACTIC, INC.

Practice address

900 Jorie Blvd.
Suite 104
Oak Brook, IL 60523-3816

Phone

(630) 574-0422

Fax

(630) 574-1002

NPI assigned

Apr 17, 2008

Last updated

Apr 17, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin M. ConnollyNPI 1073731808

Title

Owner

Phone

(630) 574-0422

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin M. Connolly, D.C.

  • Chiropractor
  • Oak Brook, IL
  • NPI 1073731808
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1316111610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JORIE BLVD.",
            "address_2": "SUITE 104",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605233816",
            "telephone_number": "630-574-0422",
            "fax_number": "630-574-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JORIE BLVD.",
            "address_2": "SUITE 104",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605233816",
            "telephone_number": "630-574-0422",
            "fax_number": "630-574-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNOLLY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-574-0422",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compassionate Living Home Inc
• Comprehensive Neuropsychology Services, LLC
• Sharon Conces, PT
• Kristin Nicole Condon, PSY.D.
• Sabrina F Connelly, LCSW
• Kevin M. Connolly, D.C.
• Conscious Counseling & Coaching Limited
• Kendra Considine
• Martha Cook, M.S.W.
• Alexia Copenhaver, M.D.

• Chiropractor in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.