Individual
DR. RONALD H SCHIFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1308 W 2ND ST, ROCK FALLS, IL 61071-1005
(815) 626-2230
(815) 626-6339
Mailing address
1708 MARVIN PKWY, PARK RIDGE, IL 60068-2425
(847) 698-1259
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
019019182
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003626
DORAL PROVIDER NUMBER
IL
Enumeration date
06/15/2006
Last updated
01/27/2012
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