Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. William Wesley Theodorou, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063686624

Dr. William Wesley Theodorou, MD is a Diagnostic Radiology in Chicago, Illinois. Graduated from Indiana Medical College, School of Medicine of Purdue University in 2008, 18 years ago. Practices with Medical Imaging Associates of Idaho Falls Inc, a 64-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
18
Trained at
Indiana Medical College, School of Medicine of Purdue University
Licensed in
IL
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone: (312) 942-5495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036.130614 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 125.055740 (IL)

Record details

NPI number1063686624
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2008
Last updated in NPPESFebruary 4, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolINDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Graduated 2008 (18 years in practice)
Group practice Medical Imaging Associates Of Idaho Falls Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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