Provider Demographics
NPI:1871632927
Name:SCHEFF & NEDVETSKY PC
Entity type:Organization
Organization Name:SCHEFF & NEDVETSKY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHEFF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:312-236-8065
Mailing Address - Street 1:30 N MICHIGAN AVE
Mailing Address - Street 2:SUITE 622
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3821
Mailing Address - Country:US
Mailing Address - Phone:312-236-8065
Mailing Address - Fax:312-236-8065
Practice Address - Street 1:30 N MICHIGAN AVE
Practice Address - Street 2:SUITE 622
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3821
Practice Address - Country:US
Practice Address - Phone:312-236-8065
Practice Address - Fax:312-236-8065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty