Aesthetic Dermatology Jonith Y Breadon Md Ltd - Chicago, IL

Aesthetic Dermatology Jonith Y Breadon Md Ltd

Medical Specialty Clinic/Center in Chicago, Illinois

NPI 1225163967

Aesthetic Dermatology Jonith Y Breadon Md Ltd is a Medical Specialty Clinic/Center based in Chicago, IL and is specialized in Medical Specialty. Aesthetic Dermatology Jonith Y Breadon Md Ltd practices in Chicago, IL. The NPI Number for Aesthetic Dermatology Jonith Y Breadon Md Ltd is 1225163967 and holds a License No. (Illinois).

The current practice location address for Aesthetic Dermatology Jonith Y Breadon Md Ltd is 1009 W Fulton Market, Chicago, IL and can be reached out via phone at 312-733-2492 and via fax at 312-733-2498.

Location: 1009 W Fulton Market, Chicago, IL, 60607-1222

NPI Number

1225163967

Provider Name

Aesthetic Dermatology Jonith Y Breadon Md Ltd

Credential

Provider Entity Type

Organization

Address

1009 W Fulton Market, Chicago, IL, 60607-1222

Phone Number

312-733-2492

Fax Number

312-733-2498

Provider Enumeration Date

02/22/2007

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
31602551	01	IL	BLUE CROSS BLUE SHIELD

Address

1009 W Fulton Market

City

Chicago

State

Illinois

Zip

60607-1222

Phone Number

312-733-2492

Fax Number

312-733-2498

Address

1009 W Fulton Market

City

Chicago

State

Illinois

Zip

60607-1222

Phone Number

312-733-2492

Fax Number

312-733-2498

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Medical Specialty

Taxonomy

261QM2500X

License No.

(Illinois)

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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