Individual
THEODORE E TROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 S WASHINGTON STREET, EDWARD HOSPITAL, NAPERVILLE, IL 60566-7060
(630) 355-0450
(630) 527-3911
Mailing address
DEPARTMENT 4387, CAROL STREAM, IL 60122-4387
(630) 355-0450
(630) 527-3911
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361066691
—
IL
Enumeration date
11/01/2006
Last updated
07/08/2007
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