Aesthetic Dermatology

LBN: Aesthetic Dermatology
Aesthetic Dermatology is an health care organization with primary practice located at 2551 N Clark St Suite #201, Chicago IL 60614-1798. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Aesthetic Dermatology can be contacted via phone (773) 883-5300, or through Breadon, Jonith Y via phone (773) 883-5300.

Contact Information

Primary practice address
2551 N Clark St Suite #201 Chicago IL 60614-1798
Phone: (773) 883-5300
Fax: (773) 883-1807
Website:
Map and Directions
Authorized official contact:
Name: Breadon, Jonith Y Doctor of Medicine (MD)
Phone: (773) 883-5300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Illinois

Profile Details

NPI number 1831125152
LBN Legal business name Aesthetic Dermatology
DBA Doing business as
Authorized official Breadon, Jonith Y Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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