Maureen Connolly | Oak Park, IL • PECOS Search

Maureen Connolly

Family Medicine

Allopathic & Osteopathic Physicians

200 Home Ave, Oak Park, IL 60302-3145

PECOS Enrollment

Based on the most recent information from CMS, provider Maureen Connolly does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1982736450
Provider Type
Individual
Full Name
Connolly, Maureen
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/11/2007
Last Updated
4/11/2013

Contact Information

Practice Location

200 Home Ave, Oak Park, IL 60302-3145

Unlisted Fax

Mailing Location

200 Home Ave, Oak Park, IL 60302-3145

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 036072385 Illinois