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DR. IRENE T. THEODORE DDS
NPI 1871756767
Dentist - General Practice in Chicago, IL

Active since July 09, 2008
4200 W PETERSON AVE, SUITE 136, CHICAGO, IL 60646(773) 286-5286(773) 286-5331 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Irene T. Theodore Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IRENE T. THEODORE DDS (NPI 1871756767) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019020903) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1871756767
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. IRENE T. THEODORECredential: DDS
Location Address4200 W PETERSON AVE, SUITE 136Chicago, IL 60646-6074
Mailing Address4200 W Peterson Ave, Suite 136Chicago, IL 60646-6074 · (773) 286-5286 · Fax (773) 286-5331
Phone(773) 286-5286
Fax(773) 286-5331
Sole ProprietorYes
Enumeration DateJuly 9, 2008
Last NPPES UpdateJuly 17, 2008
✔ NPI 1871756767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019020903
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4200 W PETERSON AVE, Chicago, IL 60646
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SELECT PHYSICAL THERAPY LIMITED PARTNERSHIP FOR BETTER LIVING
Clinic/Center (Physical Therapy)
4200 W PETERSON AVE, STE 102
CHICAGO, IL 60646
Cook County (773) 545-6885
JEFFREY A ARNOLD, DDS, PC
Dentist (General Practice)
4200 W PETERSON AVE, SUITE 117
CHICAGO, IL 60646
Cook County (773) 777-7780
DR. GLORIA GARGIULO DDS MS
Dentist (Periodontics)
4200 W PETERSON AVE, 117
CHICAGO, IL 60646
Cook County (773) 769-4800
MARK JIARAS LTD
Community/Behavioral Health
4200 W PETERSON AVE, SUITE 105
CHICAGO, IL 60646
Cook County (847) 630-3900
PHYLLIS AMABILE M.D.
Psychiatry & Neurology (Psychiatry)
4200 W PETERSON AVE, SUITE 103
CHICAGO, IL 60646
Cook County (773) 777-4516
DR. DANIELLE N KELLER AU.D.
Audiologist
4200 W PETERSON AVE, SUITE 100
CHICAGO, IL 60646
Cook County (773) 777-3277
DR. TUNDI M FRANK D.D.S.
Dentist (General Practice)
4200 W PETERSON AVE, SUITE 114
CHICAGO, IL 60646
Cook County (773) 481-1940
SAUGANASH CENTER FOR DENTAL HEALTH LTD
Dentist
4200 W PETERSON AVE, SUITE 114
CHICAGO, IL 60646
Cook County (773) 481-1940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Irene Theodore's NPI number?

The NPI number for Irene Theodore is 1871756767. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Irene Theodore located?

Irene Theodore practices at 4200 W Peterson Ave Suite 136, Chicago, IL 60646. The listed phone number is (773) 286-5286.

What is Irene Theodore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Irene Theodore was last updated on July 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.