Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Irene T. Theodore, DDS

Individual provider General Practice Dentistry · NPI 1871756767

Dr. Irene T. Theodore, DDS is a General Practice Dentistry in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

4200 W Peterson Ave Ste 136
Chicago, IL 60646-6074
Phone: (773) 286-5286
Fax: (773) 286-5331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019020903 (IL)

Record details

NPI number1871756767
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 9, 2008
Last updated in NPPESJuly 17, 2008
Mailing address4200 W Peterson Ave, Suite 136, Chicago, IL 60646-6074

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