Dr. Irene T. Theodore is a Chicago, Illinois based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Irene T. Theodore is 019020903 for General Practice Dentistry in Illinois. Her current practice location is 4200 W Peterson Ave, Suite 136, Chicago. Patients can reach her at 773-286-5286.
Dr. Irene T. Theodore is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Irene T. Theodore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Irene T. Theodore
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
4200 W Peterson Ave, Suite 136, Chicago, Illinois, 60646-6074
Phone:
773-286-5286
Fax:
773-286-5331
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1871756767
NPI Enumeration Date:
09 Jul, 2008
NPI Last Update On:
17 Jul, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Irene T. Theodore are as mentioned below.
License Number
Specialization
State
Status
019020903
General Practice Dentistry
Illinois
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4200 W Peterson Ave, Suite 136 Chicago, Illinois
Zip:
60646-6074
Phone Number:
773-286-5286
Fax Number:
773-286-5331
Patients can reach Dr. Irene T. Theodore at 4200 W Peterson Ave, Suite 136, Chicago, Illinois or can call to book an appointment on 773-286-5286. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.