Theodore S. Wright, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036065761 Issued in IL

Legal business name

THEODORE S. WRIGHT, MD

Practice address

4757 W Montrose Ave
Chicago, IL 60641-1504

Phone

(773) 777-2620

Fax

(773) 777-3030

NPI assigned

Feb 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Theodore Sidney Wright Jr.

Title

Physician

Phone

(773) 777-2620

Specialties & licenses 3

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1477694198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 OLD CONEJO RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202123",
            "telephone_number": "805-375-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757 W MONTROSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411504",
            "telephone_number": "773-777-2620",
            "fax_number": "773-777-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE S. WRIGHT, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "SIDNEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-777-2620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036065761",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IL",
            "license": "035065761",
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "IL",
            "license": "AW2016651",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31601076",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spyridon P Theodorakis, M.D.
• Theodore Handrup MD LTD
• Theodore Harris, LCSW, LLC
• Theodore M. Siegel D.D.S., P.C.
• Theodore Polizos DPM Comprehensive Podiatric Medical Services, LTD.
• Irene T. Theodore, DDS
• Constantine Theodoropoulos, D.D.S.
• Maria E Theodorou, M.D.
• William Wesley Theodorou, M.D.
• Gia Theodosiadis, ED.S

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.