IndividualActive
Angie Schuckenbrock
NPI 1508729047 · Dental Hygienist · Gillespie, IL
Provider details
- NPI number
- 1508729047
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 020011598 (IL)
Mailing address
9508 Spanish Needle Rd
Gillespie, IL 62033-3397
Registry dates
- Enumerated
- 2025-12-03
- Last updated
- 2025-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.