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Contact Information

EILEEN CONNEELY, RD,LD, CPT
17612 MULBERRY AVE
TINLEY PARK, IL60487
 Phone: 773-771-4655
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for EILEEN CONNEELY · (Female)

NPI # 1811424948
Status Active
Credentials RD,LD, CPT
Entity Individual
Enumeration date 05/19/2017
Last updated 05/19/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 1033430
  • IL Other 1033430 COMMISSION ON DIETETIC REGISTRATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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