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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.