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Contact Information

THEODORE M WYNNYCHENKO, MD
2650 RIDGE AVE
DEPARTMENT OF ANESTHESIA
EVANSTON, IL60201
 Phone: 847-570-2760
 Fax: 847-570-2921
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Pediatric Anesthesiology

207LP3000X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for THEODORE M WYNNYCHENKO · (Male)

NPI # 1780620864
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2006
Last updated 12/29/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036100119
Hospital affiliation(s)
  • ADVOCATE GOOD SHEPHERD HOSPITAL - (Acute Care)
    450 WEST HIGHWAY 22
    BARRINGTON, IL 60010
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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