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1407023674
THEODOTE K. PONTIKES
MAYWOOD, IL
NPI
1407023674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: IL 036134236)
Enumeration Date
2008-05-15
Last Update Date
2021-04-15
Business Address
Dr. THEODOTE K. PONTIKES M.D.
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9000
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Mailing Address
Dr. THEODOTE K. PONTIKES M.D.
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 781-647-6797
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