MELISSA THEODORE, NP
Nurse Practitioner
Active
Individual
NPI: 1912294083
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Adult Health | 363LA2200X | No | 277000045 (IL) |
| Nurse Practitioner | 363L00000X | Yes | 277000045 (IL) |
Frequently Asked Questions
NPI 1912294083 is the National Provider Identifier for MELISSA THEODORE, NP, a Nurse Practitioner provider located in Evanston, IL. This NPI was enumerated on July 8, 2011.
MELISSA THEODORE, NP practices at 2650 RIDGE AVE, Evanston, IL 60201.
Quick Facts
- NPI
- 1912294083
- Type
- Individual
- Enumerated
- Jul 8, 2011
- Last Updated
- Jan 14, 2026
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