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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THEODOTE K. PONTIKES, M.D.

Active

DR. THEODOTE K. PONTIKES, M.D. is a Psychiatric Neurology healthcare provider located in MAYWOOD, Illinois. NPI 1407023674 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Neurology · MAYWOOD, IL

Registration Details

NPI Number
1407023674
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2008 (18.269464385954 yrs)
Last Updated
Apr 15, 2021
License
036134236 (IL)

Practice Information

Address
2160 S 1ST AVE
MAYWOOD, IL, 601533328
Browse IL providers · Browse ZIP 60153
Phone
7082169000
Primary Specialty
Psychiatric Neurology
2084P0804X

Other Psychiatric Neurology Providers in MAYWOOD, IL

Name Credential NPI
MARK DAVID ALTER M.D. 1730263617
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.