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DR. KEVIN M. CONNOLLY D.C.
NPI 1073731808
Chiropractor in Oak Brook, IL

Active since April 24, 2007
900 JORIE BLVD, SUITE 104, OAK BROOK, IL 60523(630) 574-0422(630) 574-1002 Get Directions Write a Review

NPPES record last updated: December 7, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kevin M. Connolly D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN M. CONNOLLY D.C. (NPI 1073731808) is an individual chiropractor in Oak Brook, Illinois, licensed in Illinois (038-006475) and active in the NPI registry since April 2007. He is a graduate of Palmer College Chiropractic - Davenport (1987).

NPPES Registry Identity

NPI1073731808
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KEVIN M. CONNOLLYCredential: D.C.
Location Address900 JORIE BLVD, SUITE 104Oak Brook, IL 60523-2213
Mailing Address900 Jorie Blvd, Suite 104Oak Brook, IL 60523-2213 · (630) 574-0422 · Fax (630) 574-1002
Phone(630) 574-0422
Fax(630) 574-1002
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1987
Enumeration DateApril 24, 2007
Last NPPES UpdateDecember 7, 2013
✔ NPI 1073731808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038-006475
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
900 JORIE BLVD, Oak Brook, IL 60523
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified211829IL · Provider Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin M. Connolly D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365437761
PECOS Enrollment IDI20040415001188

Medicare Billing Reassignment

Medicare enrollment records show Kevin Connolly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Connolly Chiropractic, Inc.
Same address
Chiropractor
900 JORIE BLVD., SUITE 104
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
NPI 1316111610 (630) 574-0422

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAVI GEORGE D.O.
Hospitalist
900 JORIE BLVD, SUITE 186
OAK BROOK, IL 60523
Dupage County (630) 954-6700
ARVIND SHUKLA M.B.B.S.
Pediatrics (Neonatal-Perinatal Medicine)
900 JORIE BLVD, SUITE 186
OAK BROOK, IL 60523
Dupage County (630) 954-6700
MOHAMMED SHABBIR M.D.
Internal Medicine
900 JORIE BLVD, SUITE 186
OAK BROOK, IL 60523
Dupage County (630) 954-6700
MOON KIM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
900 JORIE BLVD, SUITE 186
OAK BROOK, IL 60523
Dupage County (630) 954-6700
DR. JOHN DAVIS M.D.
Internal Medicine (Adolescent Medicine)
900 JORIE BLVD, SUITE 186
OAK BROOK, IL 60523
Dupage County (630) 954-6700
EMELIE MEDALLE M.D.
Pediatrics
900 JORIE BLVD, SUITE 186
OAK BROOK, IL 60523
Dupage County (630) 954-6700
DR. SHOBHANA RAVIKUMAR M.D.
Pediatrics (Neonatal-Perinatal Medicine)
900 JORIE BLVD, SUITE 186
OAK BROOK, IL 60523
Dupage County (630) 954-6700
CAMILLE DICOSTANZO NNP
Nurse Practitioner (Neonatal)
900 JORIE BLVD, SUITE 186
OAK BROOK, IL 60523
Dupage County (630) 954-6700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Connolly's NPI number?

The NPI number for Kevin Connolly is 1073731808. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Kevin Connolly located?

Kevin Connolly practices at 900 Jorie Blvd Suite 104, Oak Brook, IL 60523. The listed phone number is (630) 574-0422.

What is Kevin Connolly's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kevin Connolly enrolled in Medicare?

Yes. Kevin Connolly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Connolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Connolly reassigns Medicare benefits to Connolly Chiropractic, Inc. (Oak Brook, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Connolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Connolly was last updated on December 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.