Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adrienne Schupbach, MD

Individual provider Dermatology Physician · NPI 1740415777

Adrienne Schupbach, MD is a Dermatology in Bloomington, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2009, 17 years ago. Practices with Dermatology and Mohs Surgery Skin Cancer Center, an 8-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
17
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL, MO
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3024 E Empire St Ste E&f
Bloomington, IL 61704-5402
Phone: (309) 451-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2022005842 (MO)
Dermatology Physician Taxonomy 207N00000X · Licence 036.131823 (IL)

Record details

NPI number1740415777
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2009
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022
Mailing address110 Business Park Dr Ste C, Branson, MO 65616-7449

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2009 (17 years in practice)
Group practice Dermatology And Mohs Surgery Skin Cancer Center — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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