JAMIE CHIN-THEODOROU MD NPI 1326439241

NPI Information

Jamie Chin-theodorou, MD is a healthcare provider in Chesterton, IN. Jamie Chin-theodorou, MD NPI is 1326439241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:2016

The provider's business location address is:

3100 VILLAGE PT STE 102
CHESTERTON, IN
ZIP 46304-695
Phone: (219) 395-1046
Fax: (219) 395-1570

The NPI 1326439241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/13/2015 and was last updated on 5/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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