Individual
DR. JASON SEAN SCHROTENBOER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
3927 W BELMONT AVE STE 101, CHICAGO, IL 60618-5170
(773) 945-5005
(773) 945-5004
Mailing address
3927 W BELMONT AVE STE 101, CHICAGO, IL 60618-5170
(773) 945-5005
(773) 945-5004
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019030332
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
019030332
IL
Other
Enumeration date
06/26/2009
Last updated
11/09/2021
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