Organization
HENRY C SCHUPPERT DDS, MS. PC.
Active
Other names
Schuppert Orthodonitcs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY C SCHUPPERT DDS., MS. (OWNER)
(773) 929-5000
Entity
Organization
Contact information
Practice address
2835 N SHEFFIELD AVE, SUITE 102, CHICAGO, IL 60657-5191
(773) 929-5000
(773) 929-3385
Mailing address
2835 N SHEFFIELD AVE, SUITE 102, CHICAGO, IL 60657-5191
(773) 929-5000
(773) 929-3385
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002304
IL
Other
Enumeration date
12/20/2006
Last updated
08/20/2009
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