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

Dr. Irene Thomas-Thevatheril, MD

Individual provider Family Medicine Physician · NPI 1336190529

Dr. Irene Thomas-Thevatheril, MD is a Family Practice in Lisle, Illinois. Graduated from Baylor College of Medicine in 1998, 28 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
28
Trained at
Baylor College of Medicine
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3080 Ogden Ave Ste 204
Lisle, IL 60532-1694
Phone: (630) 734-0580
Fax: (630) 734-0581
Show map & directions

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

Additional practice locations (1)

  • 1325 Community Memorial Dr, La Grange, IL 60525-2659 — (708) 245-8900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 36105417 (IL)

Record details

NPI number1336190529
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2006
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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