Individual
THEODORE RODOLFO HARROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
880 W CENTRAL RD STE 7100, ARLINGTON HEIGHTS, IL 60005-2379
(224) 735-2937
Mailing address
2650 WARRENVILLE RD STE 280, DOWNERS GROVE, IL 60515-2075
(630) 324-7900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008254
IL
Other
Enumeration date
06/04/2020
Last updated
04/12/2021
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