Wynnychenko, Theodore M

Wynnychenko, Theodore M is an individual health care provider with primary practice located at 2650 Ridge Ave Department Of Anesthesia, Evanston IL 60201. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wynnychenko, Theodore M can be contacted via phone (847) 570-2760.

Contact Information

Primary practice address
2650 Ridge Ave Department Of Anesthesia Evanston IL 60201
Phone: (847) 570-2760
Fax: (847) 570-2921
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 036100119 Illinois
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 036100119 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036100119 Illinois

Profile Details

NPI number 1780620864
LBN Legal business name Wynnychenko, Theodore M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Dec 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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