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:
Health care specialties
| Specialty | Code | License # | 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 2 years ago |
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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