What is Irene Theodore's NPI number?

Irene Theodore's National Provider Identifier (NPI) is 1871756767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Irene Theodore's specialty?

Irene Theodore is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Irene Theodore located?

Irene Theodore's practice location on file with NPPES is 4200 W Peterson Ave, Chicago, IL 60646-6074.

What is Irene Theodore's phone number?

The practice phone number listed in the NPPES registry for Irene Theodore is (773) 286-5286.

Is Irene Theodore's NPI active?

Yes — Irene Theodore's NPI (1871756767) is active in the NPPES registry as of the last update on 2008-07-17.

IndividualActive

Irene Theodore, DDS

NPI 1871756767 · General Practice Dentistry · Chicago, IL

Irene Theodore, DDS is a General Practice Dentistry provider in Chicago, IL (NPI 1871756767).

Provider details

NPI number: 1871756767
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Female
Sole proprietor: Yes
License: 019020903 (IL)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 019020903 (IL)
Dental Providers

Profile Score

Detailed profile(87/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
17 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4200 W Peterson Ave

Suite 136

Chicago, IL 60646-6074

Phone: (773) 286-5286

Fax: (773) 286-5331

Street-level locationGet directions

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Mailing address