Aesthetic Dermatology Jonith Y Breadon Md Ltd in Chicago - Medical Specialty
Aesthetic Dermatology Jonith Y Breadon Md Ltd - NPI 1225163967
Aesthetic Dermatology Jonith Y Breadon Md Ltd is a Medical Specialty in Chicago, Illinois. Aesthetic Dermatology Jonith Y Breadon Md Ltd practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Aesthetic Dermatology Jonith Y Breadon Md Ltd is 1225163967. The last update date is 2008-04-20.
Aesthetic Dermatology Jonith Y Breadon Md Ltd's current location address is 1009 W Fulton Market, Chicago, Illinois. You can contact this provider via phone number 3127332492 and fax number 3127332498. The mailing address for Aesthetic Dermatology Jonith Y Breadon Md Ltd is 1009 W Fulton Market, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aesthetic Dermatology Jonith Y Breadon Md Ltd |
|---|---|
| Address | 1009 W Fulton Market, Chicago, Illinois |
| Phone Number | 3127332492 |
| Fax Number | 3127332498 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER-PROP |
|---|---|
| Authorized Official Name | Breadon Jonith |
| Credentials | MD |
| Telephone Number | 3127332498 |
NPI Number Detail
| NPI Number | 1225163967 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 1009 W Fulton Market |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606071222 |
| Phone Number | 3127332492 |
| Fax Number | 3127332498 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31602551 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Aesthetic Dermatology Jonith Y Breadon Md Ltd by the Centers for Medicare & Medicaid Services?
The Aesthetic Dermatology Jonith Y Breadon Md Ltd has been issued the NPI (National Provider Identifier) 1225163967, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Aesthetic Dermatology Jonith Y Breadon Md Ltd's facilities are situated?
The facilities of Aesthetic Dermatology Jonith Y Breadon Md Ltd are physically located at the following address: 1009 W Fulton Market, Chicago, IL, 606071222.
What is Aesthetic Dermatology Jonith Y Breadon Md Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Aesthetic Dermatology Jonith Y Breadon Md Ltd is Medical Specialty, and the corresponding taxonomy classification code for this specialized field is 261Qm2500X.
When did Aesthetic Dermatology Jonith Y Breadon Md Ltd receive its 1225163967 assignment?
The Aesthetic Dermatology Jonith Y Breadon Md Ltd was assigned its 1225163967 on 2007-02-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Aesthetic Dermatology Jonith Y Breadon Md Ltd most recently updated or revised?
The information pertaining to Aesthetic Dermatology Jonith Y Breadon Md Ltd, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.