Individual provider · Type 1 NPI
Theodote K. Pontikes, MD
Child & Adolescent Psychiatry Physician · Maywood, IL
NPI number
1407023674
Active
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | 036134236 (IL) |
Child & Adolescent Psychiatry Physician: 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.
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About NPI 1407023674
Theodote K. Pontikes, MD's National Provider Identifier is 1407023674, issued on May 15, 2008. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Maywood, IL. The record was last updated on Apr 15, 2021.