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JORDAN CARQUEVILLE, MD

MD

Dermatology Physician

NPI: 1285830166IndividualAccepts Medicare

Specialties, Licenses & Credentials

Dermatopathology Physician

Dermatology — Dermatopathology

Code: 207ND0900X

036.130085(IL)
Dermatology PhysicianPrimary

Dermatology

Code: 207N00000X

036.130085(IL)A116000(CA)
Procedural Dermatology Physician

Dermatology — Procedural Dermatology

Code: 207NS0135X

036.130085(IL)
Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

125053046(IL)
MOHS-Micrographic Surgery Physician

Dermatology — MOHS-Micrographic Surgery

Code: 207ND0101X

036.130085(IL)

CMS Specialties

PrimaryDERMATOLOGY

Additional

MICROGRAPHIC DERMATOLOGIC SURGERY (MDS)

Education

RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY

Class of 2007

Contact & Hours

Via practice · 4 locations total

Address
1945 W Wilson Ave Ste 6119
Chicago, IL 60640

Locations (4)

Practice Location

1945 W Wilson Ave Ste 6119, Chicago, IL
(312) 319-1978

Practice Location

737 N MICHIGAN AVE STE 720, CHICAGO, IL
(312) 319-1978

Practice Location

920 N YORK RD STE 100, HINSDALE, IL
(312) 319-1978

Practice Location

4905 Old Orchard Ctr Lowr Level, Skokie, IL
(312) 319-1978

Quick Facts

NPI
1285830166
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
6
Locations
4
Years in Practice
19

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