Individual
PHILIP THEODOROPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9650 GROSS POINT RD STE 3900, SKOKIE, IL 60076-5085
(847) 570-1700
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036096989
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096989
—
IL
01
—
1629966
BCBS IL NIESS
IL
01
—
1630046
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
01
—
7234385
AETNA
IL
01
—
P00197606
RR RETIREMENT MC
IL
Enumeration date
07/27/2006
Last updated
02/18/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us