Individual
MS. CAROL ROLLOW HARMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1379
(630) 933-4847
(630) 933-4558
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1379
(630) 933-4847
(630) 933-4558
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209006946
IL
363LF0000X
Family Nurse Practitioner
209006946
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400254462
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
02/12/2008
Last updated
05/07/2024
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