Mary Theodosopoulos

NPI #1932075207 in Evanston, Illinois

Provider Information

NPI Number: 1932075207
Entity Type: Individual
Name: Mary Theodosopoulos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Oct 14, 2025
Last Updated: Oct 24, 2025

Practice Location

Address: 1409 MADISON ST
City: Evanston
State: Illinois
ZIP Code: 60202-2138
Phone: (773) 414-9992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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