Aesthetic Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

AESTHETIC DERMATOLOGY

Practice address

2551 N Clark St
Suite #201
Chicago, IL 60614-1798

Phone

(773) 883-5300

Fax

(773) 883-1807

NPI assigned

Jun 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jonith Y Breadon, M.D.

Title

Owner

Phone

(773) 883-5300

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831125152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 N CLARK ST",
            "address_2": "SUITE #201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141798",
            "telephone_number": "773-883-5300",
            "fax_number": "773-883-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 N CLARK ST",
            "address_2": "SUITE #201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141798",
            "telephone_number": "773-883-5300",
            "fax_number": "773-883-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREADON",
        "authorized_official_first_name": "JONITH",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-883-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aer Medical
• Aerodyne Technologies LLC
• Shannon Aeschliman, LPC
• Aesthetic Dental Solutions, P.C.
• Aesthetic Dental Solutions, P.C.
• Aesthetic Dermatology Jonith Y Breadon MD LTD
• Aesthetic Institute of Chicago, S.C.
• Aesthetics Unlimited, PLLC
• Af Influx Inc
• Walter P Afable, CP

• Dermatology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.