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KEVIN CONNOLLY
NPI 1124419643
Counselor - Professional in Bloomingdale, IL

Active since February 06, 2015
1 TIFFANY PT STE 110, BLOOMINGDALE, IL 60108(773) 981-2972 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Connolly NPPES

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

KEVIN CONNOLLY (NPI 1124419643) is an individual professional provider in Bloomingdale, Illinois, licensed in Illinois (180009277) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1124419643
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKEVIN CONNOLLY
Location Address1 TIFFANY PT STE 110Bloomingdale, IL 60108-2915
Mailing Address1617 Lake AveWilmette, IL 60091-1535 · (773) 981-2972
Phone(773) 981-2972
Sole ProprietorYes
Enumeration DateFebruary 6, 2015
Last NPPES UpdateFebruary 12, 2015
✔ NPI 1124419643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180009277
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 180009277 (IL)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 180009277 (IL)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 180009277 (IL)
1 TIFFANY PT STE 110, Bloomingdale, IL 60108
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Other Providers at the Same Location NPPES 6

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

MS. NIRMAL DASS APN
Nurse Practitioner (Psychiatric/Mental Health)
1 TIFFANY PT STE 110
BLOOMINGDALE, IL 60108
Dupage County (630) 924-1160
ADVANCE MEDICAL LLC
Clinic/Center
1 TIFFANY PT STE 110
BLOOMINGDALE, IL 60108
Dupage County (630) 956-4969
ADVANCE CLINICAL LAB INC
Clinical Medical Laboratory
1 TIFFANY PT STE 110
BLOOMINGDALE, IL 60108
Dupage County (847) 571-8342
OMOLOLA ADEYEMI
Nurse Practitioner (Psychiatric/Mental Health)
1 TIFFANY PT STE 110
BLOOMINGDALE, IL 60108
Dupage County (708) 382-1659
SUREGUARD LLC
Internal Medicine
1 TIFFANY PT STE 110
BLOOMINGDALE, IL 60108
Dupage County (630) 924-1160
SYED ALI IMRAN BOKHARI M.D.
Psychiatry & Neurology (Psychiatry)
1 TIFFANY PT STE 110
BLOOMINGDALE, IL 60108
Dupage County (630) 924-1160

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 1124419643. It was assigned to this individual provider in the NPPES registry on February 6, 2015.

Where is Kevin Connolly located?

Kevin Connolly practices at 1 Tiffany Pt Ste 110, Bloomingdale, IL 60108. The listed phone number is (773) 981-2972.

What is Kevin Connolly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kevin Connolly was last updated on February 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.