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Dr. Irene T. Theodore , DDS

Dentist - General Practice • Chicago, IL

Active NPI 1871756767 Individual Practitioner Female Practitioner
Practice location in NPPES

4200 W Peterson Ave, Suite 136
Chicago, IL 606466074

Call 7732865286 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4200 W Peterson Ave
Suite 136

Chicago, IL 606466074

Telephone 7732865286
Fax 7732865331
Organization at the Same NPPES Address or Phone
Select Physical Therapy Limited Partnership For Better Living Facility NPI 1003875030

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

11 standardized 30-day fills in 2019

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$51 in 2019

The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019.

Open Payments general payments, program year 2021

All general payments: $202.59 across 2 records.

By nature of payment

  • Gift: $177.99 across 1 record.
  • Food and Beverage: $24.60 across 1 record.

Reporting-company totals

  • ULTRADENT PRODUCTS INC: $177.99 across 1 record.
  • 3M Company: $24.60 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2021 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chicago and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Theodore are from 2019.

1,148 active clinicians are listed under Dentist - General Practice with a practice address in Chicago, IL (5,281 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

0.1% of these 1,148 clinicians have the CMS telehealth indicator.

0% of these 1,148 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2019), CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2021
Disclosure Year:

Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $202.59.

Manufacturer Payment Nature Product Type Amount ($)
ULTRADENT PRODUCTS INC
Gift
Cash or cash equivalent
Dental and Orthodontic supplies General $177.99
3M Company
Food and Beverage
Cash or cash equivalent
FILTEK ONE General $24.60

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2019.

CMS Part D · Data Year 2019
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 11 53 $50.52 —

Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES IL 019020903

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Phyllis Amabile , MD

Psychiatry & Neurology - Psychiatry

NPI 1346253606

Doctor of Medicine (M.D.)

Dr. Tundi Frank , DDS

Dentist - General Practice

NPI 1396912499

Doctor of Dental Surgery

Dr. Gloria Gargiulo , DDS MS

Dentist - Periodontics

NPI 1295806008

DDSMS

Laura Keprta

Physical Therapist

NPI 1710096383

Career & Practice History

NPI enumerated July 09, 2008.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1871756767
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2008
Last Update: July 17, 2008
Sole Proprietor: Yes

Other Dentist - General Practices in Chicago

All Dentist - General Practices in Chicago

Mailing Address

4200 W Peterson Ave, Suite 136

Chicago, IL 606466074

Phone: 7732865286

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.