Aesthetic Dermatology Jonith Y Breadon Md Ltd
LBN: Aesthetic Dermatology Jonith Y Breadon Md Ltd
Aesthetic Dermatology Jonith Y Breadon Md Ltd is an health care organization with primary practice located at 1009 W Fulton Market , Chicago IL 60607-1222. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty.
Aesthetic Dermatology Jonith Y Breadon Md Ltd can be contacted via phone (312) 733-2492, or through Breadon, Jonith via phone (312) 733-2498.
Contact Information
Primary practice address
1009 W Fulton Market
Chicago IL 60607-1222
Phone: (312) 733-2492
Fax: (312) 733-2498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | Illinois |
Profile Details
| NPI number | 1225163967 |
|---|---|
| LBN Legal business name | Aesthetic Dermatology Jonith Y Breadon Md Ltd |
| DBA Doing business as | |
| Authorized official | Breadon, Jonith Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Apr 20th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225163967 | NPPES |
| Illinois | Other | 31602551 | BLUE CROSS BLUE SHIELD |
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