MEDICARE: ANDREW JOSEPH SCHUBKEGEL MD

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	207Y00000X	Otolaryngology Physician	036084344	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04 0005492	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	022-15697	OTHER	IL	BLUE CROSS AND BLUE SHIELD

General Provider Information

NPI Number	:	1275521320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW JOSEPH SCHUBKEGEL MD

Provider Business Mailing Address
First Line	:	57 OGDEN AVE
Second Line	:
City	:	CLARENDON HILLS
State	:	IL
Zip	:	60514-1026
Country	:	US
Telephone Number	:	630-495-6000
Fax Number	:	630-495-6001

Provider Business Practice Location Address
First Line	:	57 EAST OGDEN AVE
Second Line	:
City	:	CLARENDON HILLS
State	:	IL
Zip	:	60514-1026
Country	:	US
Telephone Number	:	630-495-6000
Fax Number	:	630-495-6001

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	10/08/2025

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