SPYRIDON P THEODORAKIS M.D.
NPI 1922009059
Surgery in Chicago, IL

Active since August 10, 2005
5011 N LINCOLN AVE, CHICAGO, IL 60625(773) 561-7710(773) 561-7760 Get Directions Write a Review

NPPES record last updated: October 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spyridon P Theodorakis M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPYRIDON P THEODORAKIS M.D. (NPI 1922009059) is an individual surgery provider in Chicago, Illinois, licensed in Illinois (036058530) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1922009059
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSPYRIDON P THEODORAKISCredential: M.D.
Location Address5011 N LINCOLN AVEChicago, IL 60625-2611
Mailing Address5011 N Lincoln AveChicago, IL 60625-2611 · (773) 561-7710 · Fax (773) 561-7760
Fax(773) 561-7760
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateOctober 18, 2010
NPI 1922009059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IL · 036058530
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5011 N LINCOLN AVE, Chicago, IL 60625

Other Identifiers 4

Medicare UPINC45955
Medicaid36058530IL
Other1617875IL · Blue Cross Blue Shield
Medicare ID-Type Unspecified770350

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
5011 N LINCOLN AVE
CHICAGO, IL 60625
Radiology (Vascular & Interventional Radiology)
5011 N LINCOLN AVE
CHICAGO, IL 60625
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
5011 N LINCOLN AVE
CHICAGO, IL 60625
Clinic/Center (Radiology, Mobile)
5011 N LINCOLN AVE
CHICAGO, IL 60625
Specialist
5011 N LINCOLN AVE
CHICAGO, IL 60625
Clinic/Center
5011 N LINCOLN AVE
CHICAGO, IL 60625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spyridon Theodorakis's NPI number?

The NPI number for Spyridon Theodorakis is 1922009059. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Spyridon Theodorakis located?

Spyridon Theodorakis practices at 5011 N Lincoln Ave, Chicago, IL 60625. The listed phone number is (773) 561-7710.

What is Spyridon Theodorakis's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Spyridon Theodorakis was last updated on October 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.