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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ADRIENNE SCHUPBACH, M.D.

Active

ADRIENNE SCHUPBACH, M.D. is a Dermatology healthcare provider located in BLOOMINGTON, Illinois. NPI 1740415777 is currently active in the NPPES registry. Verify at CMS.

Dermatology · BLOOMINGTON, IL

Registration Details

NPI Number
1740415777
Provider Type
Individual
Gender
Female
NPI Issued
May 19, 2009 (17.266598512414 yrs)
Last Updated
Jun 14, 2022
Licenses
036.131823 (IL)
2022005842 (MO)

Practice Information

Address
3024 E EMPIRE ST STE E&F
BLOOMINGTON, IL, 617045402
Browse IL providers · Browse ZIP 61704
Phone
3094513376
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology

Other Dermatology Providers in BLOOMINGTON, IL

Name Credential NPI
MR. RAJAGOPALA SWAMINATHAN MD 1528008414
MR. THOMAS RICHARD BRANDER MD 1598803330
MR. JAMES RICHARD SEEHAFER MD 1619015450
MRS. LUCY NELSON WISDOM MD 1669510400
DR. WYNN HUGH KAO M.D., PH.D. 1790996890
NICHOLE CHRISTINE RAVE PA-C 1386031045
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.