Individual provider · Type 1 NPI
William Wesley Theodorou, MD
Diagnostic Radiology Physician · Chicago, IL
NPI number
1063686624
Active
Practice location
1653 W Congress Pkwy
Chicago, IL 60612-3833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Diagnostic Radiology Physician | 2085R0202X | 125.055740 (IL) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 036.130614 (IL) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1063686624
William Wesley Theodorou, MD's National Provider Identifier is 1063686624, issued on Apr 15, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Chicago, IL. The record was last updated on Feb 4, 2013.