Individual
JOAQUIN CARLOS BRIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE 1600, CHICAGO, IL 60611-2927
(312) 695-8106
(312) 695-0537
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-8106
(312) 695-0537
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036085292
IL
Other
Enumeration date
03/21/2006
Last updated
08/08/2012
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