Individual
MR. THADDEUS HOLGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
12075 CORPORATE PKWY, SUITE 120, MEQUON, WI 53092-2665
(844) 447-5894
Mailing address
720 E. BUTTERFIELD ROAD, SUITE 180, LOMBARD, IL 60148
(630) 627-5383
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
213000212
IL
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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