Healthcare Provider Details

I. General information

NPI: 1134887516
Provider Name (Legal Business Name): JOHN ALEXANDER HARROW PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2021
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E DIEHL RD STE 440
NAPERVILLE IL
60563-1358
US

IV. Provider business mailing address

811 ADDISON AVE
LOMBARD IL
60148-6509
US

V. Phone/Fax

Practice location:
  • Phone: 630-225-9019
  • Fax: 844-376-0919
Mailing address:
  • Phone: 217-819-6472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071.010658
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: