Theodote K. Pontikes in Maywood - Child & Adolescent Psychiatry
Theodote K. Pontikes - NPI 1407023674
Theodote K. Pontikes is a Child & Adolescent Psychiatry in Maywood, Illinois. Theodote K. Pontikes practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Theodote K. Pontikes is 1407023674. The last update date is 2021-04-15.
Theodote K. Pontikes's current location address is 2160 S 1st Ave, Maywood, Illinois. You can contact this provider via phone number 7816476797. The mailing address for Theodote K. Pontikes is 2160 S 1st Ave, Maywood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodote K. Pontikes |
|---|---|
| Address | 2160 S 1st Ave, Maywood, Illinois |
| Phone Number | 7816476797 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1407023674 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2021-04-15 |
Provider Mailing Address Detail
| Address | 2160 S 1st Ave |
|---|---|
| City | Maywood |
| State | Illinois (IL) |
| Post Code | 601533328 |
| Phone Number | 7816476797 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 36134236 |
|
Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Theodote K. Pontikes by the Centers for Medicare & Medicaid Services?
The Theodote K. Pontikes has been assigned the NPI (National Provider Identifier) 1407023674 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Theodote K. Pontikes?
The Theodote K. Pontikes is situated at 2160 S 1St Ave, in the city of Maywood, state of IL, with the zip code 601533328.
What is Theodote K. Pontikes's area of expertise and its corresponding taxonomy classification?
The Theodote K. Pontikes's field of specialization is Child & Adolescent Psychiatry, and it falls under the taxonomy code 2084P0804X, which categorizes healthcare providers based on their areas of practice.
On what date did the Theodote K. Pontikes receive the assignment of its 1407023674 from the Centers for Medicare & Medicaid Services?
The Theodote K. Pontikes was issued its 1407023674 by the Centers for Medicare & Medicaid Services on 2008-05-15.
When was the information pertaining to Theodote K. Pontikes most recently updated or revised?
The details related to Theodote K. Pontikes, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-15.