MRS. MARY ELLEN LECLAIR CONNELLY (NPI# 1750550513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750550513 |
| Entity Type | Individual |
| Full Name | MRS. MARY ELLEN LECLAIR CONNELLY |
| Credential | PT |
| Practice Address |
2 South 173 Lloyd Lombard IL 60148 |
| Practice Telephone | 6302123419 |
| Practice Fax Number | 6309160941 |
| Mailing Telephone | 6302123419 |
| Mailing Fax Number | 6309160941 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
070.004645 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2 SOUTH 173 LLOYD |
| City | LOMBARD |
| State | IL |
| Zip Code | 60148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778919 | Alish Kuply | Pharmacist | 2050 S Finley Rd Suite 20, Lombard, IL 60148 | 2020-04-06 |
| 1114567880 | Danielle Slansky | Speech-Language Pathologist | 401 N. Main St, Lombard, IL 60148 | 2020-01-10 |
| 1245715572 | Ellen Mary Corey | Behavior Technician | 627 S Grace St., Lombard, IL 60148 | 2018-10-02 |
| 1194204461 | Vip 2u, Inc | Internal Medicine | 477 E Butterfield Rd Ste 400, Lombard, IL 60148 | 2018-08-08 |
| 1881185684 | Samantha Lanagan | Behavior Technician | 21 W 356 Sidney Ave, Lombard, IL 60148 | 2018-05-29 |
| 1629570114 | Iris Victoria Goss | Hearing Instrument Specialist | 412 E. Roosevelt Rd, Lombard, IL 60148 | 2018-03-01 |
| 1780102350 | Richard Wong | Dentist | 845 S. Main St #300, Lombard, IL 60148 | 2017-09-05 |
| 1033637038 | Lora Lea Biesenkamp | Counselor | 450 E 22nd St Ste 150-17, Lombard, IL 60148 | 2017-08-30 |
| 1609392836 | Shafiq Ur Rehman | Specialist/Technologist, Other | 2005 South Finley Rd Unit 1012, Lombard, IL 60148 | 2017-08-18 |
| 1033642715 | Great Lakes Living Solutions Corp. | Home Health | 477 E. Butterfield Rd., Suite Ll005, Lombard, IL 60148 | 2017-04-09 |
| Find all providers in zip 60148 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649328071 | Karen A. Aukland | Physical Therapist | 319 N Garfield St, Lombard, IL 60148-2041 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
| 1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
| 1437625001 | Jennifer K. Buccelli, Mpt | Physical Therapist | 597 Plymouth Ct, Gurnee, IL 60031-3229 | 2018-10-22 |
| 1124511159 | Molly Victorine | Physical Therapist | 1375 Newcastle Ln, Hoffman Estates, IL 60169-1225 | 2018-06-13 |
| 1750896163 | Julie Ann Brady | Physical Therapist | 430 Nevada St, Frankfort, IL 60423-1565 | 2017-12-07 |
| 1467965939 | Carla Gain | Physical Therapist | 118 Westhaven School Rd, Belleville, IL 62220-3264 | 2017-11-07 |
| 1538678354 | Anita Tallegien Daneshdoost | Physical Therapist | 1725 Shomaker Drive, Murphysboro, IL 62966 | 2017-09-25 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1417409970 | Katherine Wolff | Physical Therapist | 12 N Kenilworth Ave, Mount Prospect, IL 60056-2232 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.