Derm Institute Of Chicago

LBN: Jordan C. Carqueville, Md Llc
Derm Institute Of Chicago is an health care organization with primary practice located at 737 N Michigan Ave Ste 720 , Chicago IL 60611-6661. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Jordan C. Carqueville, Md Llc can be contacted via phone (312) 319-1978, or through Wezowski, Marc 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:
Map and Directions
Authorized official contact:
Name: Wezowski, Marc MS, JD
Phone: (312) 319-1978

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1710531330
LBN Legal business name Jordan C. Carqueville, Md Llc
DBA Doing business as Derm Institute Of Chicago
Authorized official Wezowski, Marc MS, JD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2019
Last updated Aug 8th, 2023 - about last year

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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