Organization
ENT SPECIALISTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW JOSEPH SCHUBKEGEL M.D. (PRESIDENT/PHYSICIAN)
(630) 495-6000
Entity
Organization
Contact information
Practice address
57 OGDEN AVE, CLARENDON HILLS, IL 60514-1026
(630) 495-6000
(630) 495-6001
Mailing address
57 OGDEN AVE, CLARENDON HILLS, IL 60514-1026
(630) 495-6000
(630) 495-6001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-084344
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022-15697
BC/BS PROVIDER NUMBER
IL
05
—
036084344
—
IL
01
—
CM3993
RAILROAD MEDICARE
IL
Enumeration date
01/14/2008
Last updated
06/25/2024
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