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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245219641 NPPES
Illinois MEDICAID 36097485
Illinois Other 971720

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