Theodore Rodolfo Harrold

Physician Assistant · Arlington Heights, IL

Individual Active NPI

NPI number 1093339061

Practice location

880 W Central Rd Ste 7100
Arlington Heights, IL 60005-2379
Phone
(224) 735-2937

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NPI record

NPI
1093339061
Entity type
Individual (Type 1)
Enumeration date
June 4, 2020
Last updated
April 12, 2021
Certified
April 12, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085.008254 IL

Mailing address

2650 Warrenville Rd Ste 280
Downers Grove, IL 60515-2075
Phone
(630) 324-7900

Other practice locations (1)

  • 671 S Fairview Ave, Elmhurst, IL 60126-4232 · (630) 750-4828

About Theodore Harrold

Theodore Rodolfo Harrold is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 880 W Central Rd Ste 7100, Arlington Heights, IL 60005-2379. The NPI number 1093339061 was assigned on June 4, 2020 and the record was last updated on April 12, 2021.

Theodore Harrold lists a license in the registry: #085.008254 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Theodore Rodolfo Harrold?

The NPI number is 1093339061.

What is the phone number of Theodore Harrold?

The phone number listed for the practice location is (224) 735-2937.

Where is Theodore Harrold located?

880 W Central Rd Ste 7100, Arlington Heights, IL 60005-2379.

What is the taxonomy code for Theodore Harrold?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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