MEDICARE: DR. FERDINAND BENEDICT SCHIAPPA II DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	ILL-1917266	IL

General Provider Information

NPI Number	:	1144345620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FERDINAND BENEDICT SCHIAPPA II DDS

Provider Business Mailing Address
First Line	:	6437 N CENTRAL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-2901
Country	:	US
Telephone Number	:	773-631-1364
Fax Number	:	773-631-1364

Provider Business Practice Location Address
First Line	:	6437 N CENTRAL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-2901
Country	:	US
Telephone Number	:	773-631-1364
Fax Number	:	773-631-1364

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	01/06/2016

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