| Riley Grace Connolly, | |
|
201 W Williams St, Dwight, IL 60420-1245 | |
| (815) 584-6713 | |
| Not Available |
| Full Name | Riley Grace Connolly |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 201 W Williams St, Dwight, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356142467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Riley Grace Connolly, 201 W Williams St, Dwight, IL 60420-1245 Ph: (815) 584-6713 | Riley Grace Connolly, 201 W Williams St, Dwight, IL 60420-1245 Ph: (815) 584-6713 |
Nancy Lea Venhaus, M.A.,CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 31235 N 2400 East Rd, Dwight, IL 60420 Phone: 815-584-3919 | |
Jennifer Cracco, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 E Mazon Ave, Dwight, IL 60420 Phone: 815-584-1240 |