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NPI Profile for LAURA L CONNOLLY in WESTCHESTER, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1255398558 |
|
| Status | Active | |
| Credentials | PAC | |
| Entity | Individual | |
| Enumeration date | 04/28/2006 | |
| Last updated | 11/16/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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LAURA L CONNOLLY
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LAURA L CONNOLLY, PAC