MRS. Eleanor Theobald, PA-C is a student in an organized health care education training program in Chicago, IL. The provider is 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. MRS. Eleanor Theobald, PA-C NPI is 1124648639. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2657 N HARDING AVE UNIT 2
CHICAGO, IL
ZIP 60647-024
Phone: (443) 837-8805
The enumeration date for this NPI number is 4/24/2020 and was last updated on 4/24/2020.