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SHELBY QUINN COULTER KOSCHUCK DDS
NPI 1508494469
Dentist - General Practice in Maywood, IL

Active since March 27, 2020
2160 S 1ST AVE, MAYWOOD, IL 60153(708) 327-3041(708) 327-3489 Get Directions Write a Review

NPPES record last updated: September 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2020, Mar 27, 2020 (2 updates tracked since 2020).

About Shelby Quinn Coulter Koschuck Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY QUINN COULTER KOSCHUCK DDS (NPI 1508494469) is an individual general practice provider in Maywood, Illinois, licensed in Illinois (018002146) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1508494469
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSHELBY QUINN COULTER KOSCHUCKCredential: DDS
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address846 Kenwood Blvd.Windsor, ONT N9J3C5
Phone(708) 327-3041
Fax(708) 327-3489
Sole ProprietorNo
Enumeration DateMarch 27, 2020
Last NPPES UpdateSeptember 13, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2020
✔ NPI 1508494469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 018002146
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2160 S 1ST AVE, Maywood, IL 60153
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANITA OZA NAGAMINE M.D.
Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
DR. BRYCE ANDREW PASCHOLD D.P.M.
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-4254
DR. ANTONIO HERNANDO IGLESIAS M.D.
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
IAN CHARLES MCCOMB
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
JAMES WU D.O.
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
PAIGE T SONG MD
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888
ELIZABETH CHO
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-1274
DR. CATHRYN T SAWALSKI DO, MBA
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby Koschuck's NPI number?

The NPI number for Shelby Koschuck is 1508494469. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Shelby Koschuck located?

Shelby Koschuck practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 327-3041.

What is Shelby Koschuck's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shelby Koschuck was last updated on September 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.