Michael Connolly
Michael Connolly is a Dentist in East Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
Practice location Address checks out
1001 Illini DrEast Peoria, IL 61611-1883
Phone: (309) 694-2620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019-025916 (IL) |
|---|
Record details
| NPI number | 1487921490 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 18, 2011 |
| Last updated in NPPES | November 18, 2011 |
| Mailing address | 1001 Illini Dr, East Peoria, IL 61611-1883 |
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