DR. IRENE T. THEODORE


Address: 4200 W Peterson Ave, Suite 136, Chicago, IL 60646-6074
Phone: 7732865286

DR. IRENE T. THEODORE (NPI# 1871756767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871756767
Entity Type Individual
Full Name DR. IRENE T. THEODORE
Credential DDS
Practice Address 4200 W Peterson Ave
Suite 136
Chicago
IL 60646-6074
Practice Telephone 7732865286
Practice Fax Number 7732865331
Mailing Telephone 7732865286
Mailing Fax Number 7732865331
Enumeration Date 2008-07-09
Last Update Date 2008-07-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
019020903 IL Dental Providers

Office Location

Street Address 4200 W PETERSON AVE
SUITE 136
City CHICAGO
State IL
Zip Code 60646-6074

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669470217 Michael A. Krell Dentist 4200 W Peterson Ave, Suite 128, Chicago, IL 60646-6074 2005-07-08
1336502434 Mark Jiaras Ltd Community/Behavioral Health 4200 W Peterson Ave, Suite 105, Chicago, IL 60646-6074 2016-04-05
1366748329 Danielle N Keller Audiologist 4200 W Peterson Ave, Suite 100, Chicago, IL 60646-6074 2011-02-08
1508006313 Jacobson Orthodontic Associates, Ltd Dentist 4200 W Peterson Ave, Suite 116, Chicago, IL 60646-6074 2009-03-06
1558528646 Rachelle Hasson Miller Psychiatry & Neurology 4200 W Peterson Ave, Suite 105, Chicago, IL 60646-6074 2008-05-18
1396912499 Tundi M Frank Dentist 4200 W Peterson Ave, Suite 114, Chicago, IL 60646-6074 2008-05-08
1881812550 Bailey Norman Jacobson Dentist 4200 W Peterson Ave, Suite 116, Chicago, IL 60646-6074 2007-04-20
1821120122 Ronald Jacobson Dentist 4200 W Peterson Ave, Suite 116, Chicago, IL 60646-6074 2007-03-12
1811026669 Krell-reuben Oral Surgery Ltd. Dentist 4200 W Peterson Ave, Suite 128, Chicago, IL 60646-6074 2007-03-05
1417095530 Sauganash Center for Dental Health Ltd Dentist 4200 W Peterson Ave, Suite 114, Chicago, IL 60646-6052 2007-02-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801312087 Manal Ibrahim Dentist 6228 N Keystone Ave, Chicago, IL 60646 2017-08-18
1750820742 Kaitlin O'brien Student in an Organized Health Care Education/Training Program 5801 N Pulaski, Chicago, IL 60646 2017-02-23
1659810646 Sofia Trani Student in an Organized Health Care Education/Training Program 5801 N. Pulaski Rd, Chicago, IL 60646 2017-02-23
1487191151 Ronald E. Rysztogi Naprapath 5704 N. Austin, Chicago, IL 60646 2017-01-19
1417403148 Joyful Dental Care Clinic/Center 6314 N. Cicero Avenue, Chicago, IL 60646 2016-09-01
1164889754 Physicians At Call Family Medicine 5901 N. Cicero Ave, Ste 207, Chicago, IL 60646 2016-01-27
1245610617 Arlett Payne Physician Assistant 5906 N Milwaukee, Chicago, IL 60646 2015-06-01
1811375843 North River Mental Health Center Community/Behavioral Health 5801 North Pulaski Road, Chicago, IL 60646 2015-05-11
1003157298 Family Choice Home Health Homemaker 5933 N Milwaukee Avenue, Chicago, IL 60646 2013-03-13
1235479593 Antonina Skapars Trinkuns Psychiatry & Neurology 6404 N. Tahoma Ave., Chicago, IL 60646 2013-02-25
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295340628 Karina Valentin Dentist 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 2020-09-11
1679181895 Robert J Chacon Dentist 15 S Throop St Apt 206, Chicago, IL 60607-2522 2020-07-14
1629693304 Priyanka Sikka Dentist 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 2020-06-09
1164045456 Yong Chang Dds PC. Dentist 3531 N Western Ave Unit B, Chicago, IL 60618-6025 2020-05-21
1699301358 Marcella Guzman P.C. Dentist 3236 W. Fullerton Ave., Chicago, IL 60647 2020-03-13
1831749944 Kenwood Dental Group Dentist 1335 E 87th St Ste A, Chicago, IL 60619-7036 2019-09-19
1508412875 Kamal Paresh Patel Dentist 1040 W Randolph St, Chicago, IL 60607-2215 2019-08-13
1003469636 Ahmed Mansour Dentist 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 2019-07-23
1568024925 John Michael Burnheimer II Dentist 11 S Green St Unit 1106, Chicago, IL 60607-1031 2019-07-05
1497317515 Prasanth Dommaraju Dentist 3924 S Archer Ave, Chicago, IL 60632-1116 2019-06-29
Find all providers in CHICAGO

Competitor

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City CHICAGO
Zip Code 60646

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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