THEODORE RODOLFO HARROLD


Address: 671 S Fairview Ave, Elmhurst, IL 60126-4232
Phone: 6307504828

THEODORE RODOLFO HARROLD (NPI# 1093339061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093339061
Entity Type Individual
Full Name THEODORE RODOLFO HARROLD
Practice Address 671 S Fairview Ave
Elmhurst
IL 60126-4232
Practice Telephone 6307504828
Enumeration Date 2020-06-04
Last Update Date 2020-06-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 671 S FAIRVIEW AVE
City ELMHURST
State IL
Zip Code 60126-4232

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154931434 Andrew D Chastain Physical Therapy Assistant 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 2020-08-03
1407464472 Kevin M. Dunn Physical Therapy Assistant 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 2020-07-16
1699236414 Rosario Garcia Nurse Practitioner 1200 York St, Elmhurst, IL 60126 2019-03-26
1003390857 Lauren M Gorski Physical Therapist 275 N. York Rd, Suite 300, Elmhurst, IL 60126 2018-09-18
1073041240 Kyle Patrick Harmon Dentist 127 W Vallette St, Elmhurst, IL 60126 2017-05-31
1083065031 Mariah Lynn Kyro Behavioral Analyst 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 2016-06-30
1841661261 Randi N. Rockell Nurse Practitioner 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 2015-10-12
1508254897 Soles Therapy Services Corp Speech-Language Pathologist 627 N York Street, Unit E, Elmhurst, IL 60126 2015-01-08
1629466560 Amy J Pawlik Physical Therapist 263 N. York Rd., Suite 200, Elmhurst, IL 60126 2014-12-30
1265771349 Ladawna Goering Nurse Practitioner 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 2013-02-08
Find all providers in zip 60126

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376152736 Carlos Eduardo Hallo Carrasco Student in an Organized Health Care Education/Training Program 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 2020-07-30
1407471352 Shreeya Parajull Student in an Organized Health Care Education/Training Program 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 2020-06-16
1114542479 Mahmud Omar Elfituri Student in an Organized Health Care Education/Training Program 79-01 Boradway, Elmhurst, NY 11373 2020-06-12
1790309391 Sarah H Lazaros Student in an Organized Health Care Education/Training Program 7901 Broadway Rm A1-t1, Elmhurst, NY 11373-1329 2020-05-31
1780207456 Suzanne Hamby Student in an Organized Health Care Education/Training Program 267 S Kenmore Ave, Elmhurst, IL 60126-3519 2020-05-28
1922628627 Yingying Chen Student in an Organized Health Care Education/Training Program 7901 Broadway Rm A7-34, Elmhurst, NY 11373-1329 2020-04-22
1538788948 Swe Swe Hlaing Student in an Organized Health Care Education/Training Program 8201 Britton Ave Apt 5b, Elmhurst, NY 11373-2460 2020-04-15
1811524853 Branden Yousef Ireifej Student in an Organized Health Care Education/Training Program 7901 Broadway Rm A1-a6, Elmhurst, NY 11373-1329 2020-03-26
1366077224 Nina Luksanapol Student in an Organized Health Care Education/Training Program 9431 59th Ave Apt 1k, Elmhurst, NY 11373-5170 2020-03-10
1821647926 Shahorin Monzoor Student in an Organized Health Care Education/Training Program 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 2019-09-11
Find all providers in ELMHURST

Competitor

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City ELMHURST
Zip Code 60126

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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