Theodorou, William Wesley

Theodorou, William Wesley is an individual health care provider with primary practice located at 1653 W Congress Pkwy , Chicago IL 60612-3833. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Theodorou, William Wesley can be contacted via phone (312) 942-5495.

Contact Information

Primary practice address
1653 W Congress Pkwy Chicago IL 60612-3833
Phone: (312) 942-5495
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 125.055740 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036.130614 Illinois

Profile Details

NPI number 1063686624
LBN Legal business name Theodorou, William Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Feb 4th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers