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

Mary Theodosopoulos

Individual provider Nurse Practitioner · NPI 1932075207

Mary Theodosopoulos is a Nurse Practitioner in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

1409 Madison St
Evanston, IL 60202-2138
Phone: (773) 414-9992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.033529 (IL)

Record details

NPI number1932075207
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 14, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 14, 2025
Mailing address1409 Madison St, Evanston, IL 60202-2138

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