IRENE T. THEODORE

CHICAGO, IL
NPI1871756767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019020903)
Enumeration Date2008-07-09
Last Update Date2008-07-17
Business Address
Dr. IRENE T. THEODORE dds
4200 W PETERSON AVE SUITE 136
CHICAGO, IL 60646-6074
Phone number: 773-286-5286
Mailing Address
Dr. IRENE T. THEODORE dds
4200 W PETERSON AVE SUITE 136
CHICAGO, IL 60646-6074
Phone number: 773-286-5286
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