Healthcare Provider Details

I. General information

NPI: 1275521320
Provider Name (Legal Business Name): ANDREW JOSEPH SCHUBKEGEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 EAST OGDEN AVE
CLARENDON HILLS IL
60514-1026
US

IV. Provider business mailing address

57 OGDEN AVE
CLARENDON HILLS IL
60514-1026
US

V. Phone/Fax

Practice location:
  • Phone: 630-495-6000
  • Fax: 630-495-6001
Mailing address:
  • Phone: 630-495-6000
  • Fax: 630-495-6001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number036084344
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: