Schubert, Charles Bradley
Schubert, Charles Bradley is an individual health care provider with primary practice located at 1950 N Harlem Ave , Elmwood Park IL 60707-3717. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Schubert, Charles Bradley can be contacted via phone (708) 453-6800.Contact Information
Primary practice address
1950 N Harlem Ave
Elmwood Park IL 60707-3717
Phone: (708) 453-6800
Fax: (708) 453-3235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036097485 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 036097485 | Illinois |
Profile Details
| NPI number | 1245219641 |
|---|---|
| LBN Legal business name | Schubert, Charles Bradley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Apr 27th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245219641 | NPPES |
| Illinois | MEDICAID | 36097485 | |
| Illinois | Other | 971720 |
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