THEODORE MAZZONE – Endocrinology, Diabetes & Metabolism Physician, NPI 1962515403

Endocrinology, Diabetes & Metabolism Physician

THEODORE MAZZONE is a healthcare provider. based in Evanston, Illinois. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. 036066566 (IL). The NPI Number for THEODORE MAZZONE is 1962515403

Main info

Male

49 Years Of Experience

Accepts Medicare Assignment

Name

THEODORE MAZZONE

NPI

1962515403

Phone

(847) 570-2040

Address

2650 RIDGE AVE STE 1223

Enumeration Date

17 August 2006

Last Update Date

18 February 2021

Doctor Profile

Medical School Name

NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL

Secondary Phone

Graduation Year

1977 (49 years ago)

PAC ID

5092721548

Group Practice PAC ID

2163334699

Professional Enrollment ID

I20060221000862

Contacts

Secure Messaging

tmazzone227441@direct.northshore.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness85

Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for THEODORE MAZZONE

2650 RIDGE AVE STE 1223
EVANSTON, IL 602011700
Phone: (847) 570-2040
Type: Mailing
9977 WOODS DR STE 300
SKOKIE, IL 600771057
Phone: (847) 663-5840
Type: Location
1819, West Polk Street, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60612, United States
612 CMW, MC 797
CHICAGO, IL 606124356
Phone: (312) 996-7989
Fax: (312) 413-0437
Type: Mailing
University of Illinois at Chicago Hospital (UICH), 1740, West Taylor Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
CHICAGO, IL 606127232
Phone: (866) 600-2273
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2163334699View full group profile

Name	Specialty	State
DR. THOMAS LEE CIBULL (M.D.)	-	IL
DR. HERMAN BLOMEIER (M.D.)	E N D O C R I N O L O G Y	IL
BERNADETTE MARI SCHONEBURG (M.D.)	N E U R O L O G Y	IL
KAREN CHIU (MD)	Hospitalist, Internal Medicine	IL
PAUL OWEN PHELPS (M.D.)	O P H T H A L M O L O G Y	IL
LESLIE S. FINKEL (MD)	-	IL
TARA RAJIYAH (MD)	E N D O C R I N O L O G Y	IL
THOMAS A. MAYER (MD)	Cardiovascular Disease (Cardiology), Interventional Cardiology	IL
MRS. ROBIN ANNE CONTRERAS (LCSW)	Clinical Social Worker	IL
DONNA R. WARDER (APN-CNM)	Certified Nurse Midwife (Cnm)	IL