Organization
AESTHETIC DERMATOLOGY JONITH Y BREADON MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONITH BREADON MD (OWNER-PROPRIETOR-HEAD PHYSICIAN)
(312) 733-2498
Entity
Organization
Contact information
Practice address
1009 W FULTON MARKET, CHICAGO, IL 60607-1222
(312) 733-2492
(312) 733-2498
Mailing address
1009 W FULTON MARKET, CHICAGO, IL 60607-1222
(312) 733-2492
(312) 733-2498
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31602551
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/22/2007
Last updated
04/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us