Individual
DR. JORDAN CLAIRE CARQUEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
737 N MICHIGAN AVE STE 720, CHICAGO, IL 60611-6661
(312) 319-1978
(312) 262-7791
Mailing address
920 N YORK RD STE 100, HINSDALE, IL 60521-3515
(312) 319-1978
(312) 262-7791
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.130085
IL
207N00000X
Dermatology Physician
A116000
CA
207ND0101X
MOHS-Micrographic Surgery Physician
036.130085
IL
207ND0900X
Dermatopathology Physician
036.130085
IL
207NS0135X
Procedural Dermatology Physician
036.130085
IL
390200000X
Student in an Organized Health Care Education/Training Program
125053046
IL
Other
Enumeration date
06/26/2007
Last updated
01/11/2025
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