William Wesley Theodorou in Chicago - Diagnostic Radiology

William Wesley Theodorou - NPI 1063686624

William Wesley Theodorou is a Diagnostic Radiology in Chicago, Illinois. William Wesley Theodorou practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for William Wesley Theodorou is 1063686624. The last update date is 2013-02-04.

William Wesley Theodorou's current location address is 1653 W Congress Pkwy, Chicago, Illinois. You can contact this provider via phone number 3129425495. The mailing address for William Wesley Theodorou is 1653 W Congress Pkwy, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name William Wesley Theodorou
Address 1653 W Congress Pkwy, Chicago, Illinois
Phone Number 3129425495
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1063686624
Provider Enumeration Date 2008-04-15
Last Updated Date 2013-02-04

Provider Mailing Address Detail

Address 1653 W Congress Pkwy
City Chicago
State Illinois (IL)
Post Code 606123833
Phone Number 3129425495
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 125.05574
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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FAQs about William Wesley Theodorou

What is the unique identification code assigned to William Wesley Theodorou by the Centers for Medicare & Medicaid Services?

The William Wesley Theodorou has been issued the NPI (National Provider Identifier) 1063686624. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the William Wesley Theodorou's physical address?

The William Wesley Theodorou is physically located at 1653 W Congress Pkwy, in the city of Chicago, IL, with the postal code 606123833.

What is William Wesley Theodorou's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for William Wesley Theodorou is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.

On what date did the William Wesley Theodorou receive the assignment of its 1063686624 from the Centers for Medicare & Medicaid Services?

The William Wesley Theodorou was issued its 1063686624 by the Centers for Medicare & Medicaid Services on 2008-04-15.

As of what date were the William Wesley Theodorou's details last updated?

The information pertaining to the William Wesley Theodorou, including its address, specialty, and other details, was most recently updated on 2013-02-04.

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