MEDICARE: ERIN CONNOLLY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1558250407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN CONNOLLY

Provider Business Mailing Address
First Line	:	713 W WRIGHTWOOD AVE APT 3F
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2578
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	713 W WRIGHTWOOD AVE APT 3F
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2578
Country	:	US
Telephone Number	:	248-403-2196
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2025
Last Update Date	:	07/02/2025

Similar Medicare Providers

1629402920 — BRIDGETTE LOVE
Practice Location Address:

4045 S LAKE PARK AVE # 302
CHICAGO, IL
60653-2578

Practice Phone: 773-924-5377
Practice Fax:

1548632888 — CYNTHIA BENIK LCSW
Practice Location Address:

2834 N DAWSON AVE , APT. 1W
CHICAGO, IL
60618-2578

Practice Phone: 630-433-8706
Practice Fax:

1962361634 — RACHEL CRISTINE MANCUSO
Practice Location Address:

727 W MADISON ST APT 3312
CHICAGO, IL
60661-2578

Practice Phone: 847-845-8245
Practice Fax:

1962357640 — RUSH-SELECT HOLDINGS, LLC.
Practice Location Address:

1002 W DIVERSEY PKWY
CHICAGO, IL
60614-1317

Practice Phone: 773-248-2578
Practice Fax:

1083945836 — THERESE L CLEMENTI P.T.
Practice Location Address:

1002 W DIVERSEY PKWY
CHICAGO, IL
60614-6928

Practice Phone: 773-248-2578
Practice Fax:

1720489123 — GREGORY PATTON GILMORE DPT
Practice Location Address:

1002 W DIVERSEY PKWY
CHICAGO, IL
60614-1317

Practice Phone: 773-248-2578
Practice Fax:

Directions to “ ERIN CONNOLLY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.