Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Edward Connolly, MD

Individual provider Family Medicine Physician · NPI 1538110960

Michael Edward Connolly, MD is a Family Practice in Quincy, Illinois. Graduated from Rush Medical College of Rush University in 1999, 27 years ago. Practices with Board of Trustees of Southern Illinois University, a 142-clinician group and accepts Medicare assignment. Licensed in Iowa, Illinois and Wisconsin.

Years since qualifying
27
Trained at
Rush Medical College of Rush University
Licensed in
IA, IL, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

612 N 11th St
Quincy, IL 62301-2662
Phone: (217) 224-9484
Fax: (217) 224-7950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-108107 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 45217 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 34949 (IA)

Record details

NPI number1538110960
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESJanuary 9, 2017
Mailing address612 N 11th St, Quincy, IL 62301-2662

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 1999 (27 years in practice)
Group practice Board Of Trustees Of Southern Illinois University — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Quincy