Theodore S. Wright, Md
LBN: Theodore S. Wright, Md
Theodore S. Wright, Md is an health care organization with primary practice located at 4757 W Montrose Ave , Chicago IL 60641-1504. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine, Suppliers / Non-Pharmacy Dispensing Site. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Theodore S. Wright, Md can be contacted via phone (773) 777-2620, or through Wright, Theodore Sidney via phone (773) 777-2620.
Contact Information
Primary practice address
4757 W Montrose Ave
Chicago IL 60641-1504
Phone: (773) 777-2620
Fax: (773) 777-3030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036065761 | Illinois |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 035065761 | Illinois |
| Suppliers / Non-Pharmacy Dispensing Site | 332900000X | AW2016651 | Illinois |
Profile Details
| NPI number | 1477694198 |
|---|---|
| LBN Legal business name | Theodore S. Wright, Md |
| DBA Doing business as | |
| Authorized official | Wright, Theodore Sidney |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Apr 27th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477694198 | NPPES |
| Illinois | Other | 31601076 | BCBS |
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