Healthcare Provider Details

I. General information

NPI: 1174632723
Provider Name (Legal Business Name): THOMAS ALDEN HEALY RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SPALDING DR
NAPERVILLE IL
60540
US

IV. Provider business mailing address

2022 KEIM DR
NAPERVILLE IL
60565
US

V. Phone/Fax

Practice location:
  • Phone: 630-357-2900
  • Fax: 630-357-2989
Mailing address:
  • Phone: 630-369-8543
  • Fax: 630-357-2989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: