DR. JORDAN CARQUEVILLE, MD
Dermatology
Active
Individual
NPI: 1285830166
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology - Dermatopathology | 207ND0900X | No | 036.130085 (IL) |
| Dermatology | 207N00000X | No | A116000 (CA) |
| Dermatology - Procedural Dermatology | 207NS0135X | No | 036.130085 (IL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | 125053046 (IL) |
| Dermatology - MOHS-Micrographic Surgery | 207ND0101X | No | 036.130085 (IL) |
Frequently Asked Questions
NPI 1285830166 is the National Provider Identifier for DR. JORDAN CARQUEVILLE, MD, a Dermatology provider located in Chicago, IL. This NPI was enumerated on June 26, 2007.
DR. JORDAN CARQUEVILLE, MD practices at 737 N MICHIGAN AVE STE 720, Chicago, IL 60611.
Quick Facts
- NPI
- 1285830166
- Type
- Individual
- Enumerated
- Jun 26, 2007
- Last Updated
- Jan 11, 2025
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