institution
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. You can also correspond with Aesthetic Dermatology Jonith Y Breadon Md Ltd through the mailing address at 1009 W FULTON MARKET, CHICAGO, IL - 60607-1222 (mailing address contact number: 312-733-2492).

Location: 1009 W Fulton Market, Chicago, IL, 60607-1222
institution
Provider Profile Details
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
31602551 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1009 W Fulton Market
City
State
Zip
60607-1222
Phone Number
312-733-2492
Fax Number
312-733-2498
person
Provider Business Mailing Address Details
Address
1009 W Fulton Market
City
State
Zip
60607-1222
Phone Number
312-733-2492
Fax Number
312-733-2498
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
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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