| Doctor Name: | MRS. LAURA LEE CONNOLLY |
| NPI Number: | 1255398558 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | 085002150 |
| Business Practice Address: | 3 Westbrook Corporate Ctr Ste 1000 Westchester, IL - 601545703 |
| Business Phone Number: | 7083433566 |
| Business Fax Number: | 7083439235 |
| Mailing Address: | 3 Westbrook Corporate Ctr, Ste 1000 WESTCHESTER |
| State: | IL |
| Postal Code: | 601545703 |
| Phone Number: | 7083433566 |
| Fax Number: | 7083439235 |
| NPI Enumeration Date: | 04/28/2006 |
| NPI Last Update Date: | 11/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 085002150 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |