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MARY THEODOSOPOULOS
NPI 1932075207
Nurse Practitioner in Evanston, IL

Active since October 14, 2025
1409 MADISON ST, EVANSTON, IL 60202(773) 414-9992 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mary Theodosopoulos NPPES

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

MARY THEODOSOPOULOS (NPI 1932075207) is an individual nurse practitioner in Evanston, Illinois, licensed in Illinois (209.033529) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1932075207
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY THEODOSOPOULOS
Location Address1409 MADISON STEvanston, IL 60202-2138
Mailing Address1409 Madison StEvanston, IL 60202-2138 · (773) 414-9992
Phone(773) 414-9992
Sole ProprietorNo
Enumeration DateOctober 14, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1932075207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.033529
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1409 MADISON ST, Evanston, IL 60202
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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 Mary Theodosopoulos's NPI number?

The NPI number for Mary Theodosopoulos is 1932075207. It was assigned to this individual provider in the NPPES registry on October 14, 2025.

Where is Mary Theodosopoulos located?

Mary Theodosopoulos practices at 1409 Madison St, Evanston, IL 60202. The listed phone number is (773) 414-9992.

What is Mary Theodosopoulos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Theodosopoulos was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.