Carqueville, Jordan Claire

Carqueville, Jordan Claire is an individual health care provider with primary practice located at 737 N Michigan Ave Ste 720 , Chicago IL 60611-6661. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Carqueville, Jordan Claire can be contacted via phone (312) 319-1978.

Contact Information

Primary practice address
737 N Michigan Ave Ste 720 Chicago IL 60611-6661
Phone: (312) 319-1978
Fax: (312) 262-7791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 036.130085 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A116000 California
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 036.130085 Illinois
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 036.130085 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 125053046 Illinois
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036.130085 Illinois

Profile Details

NPI number 1285830166
LBN Legal business name Carqueville, Jordan Claire
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Aug 8th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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