IndividualActive
Adrienne Schupbach, M.D.
NPI 1740415777 · Dermatology Physician · Bloomington, IL
Provider details
- NPI number
- 1740415777
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036.131823 (IL)
Practice location
3024 E Empire St Ste E&f
Bloomington, IL 61704-5402
Phone: (309) 451-3376
Mailing address
110 Business Park Dr Ste C
Branson, MO 65616-7449
Registry dates
- Enumerated
- 2009-05-19
- Last updated
- 2022-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.