AESTHETIC DERMATOLOGY JONITH Y BREADON MD LTD
NPI 1225163967
Clinic/Center - Medical Specialty in Chicago, IL

Active since February 22, 2007
1009 W FULTON MARKET, CHICAGO, IL 60607(312) 733-2492(312) 733-2498 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Aesthetic Dermatology Jonith Y Breadon Md Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AESTHETIC DERMATOLOGY JONITH Y BREADON MD LTD (NPI 1225163967) is a healthcare organization registered as a medical specialty in Chicago, Illinois and active in the NPI registry since February 2007. The organization lists Jonith Breadon, Owner-proprietor-head Physician, as its authorized official.

NPPES Registry Identity

NPI1225163967
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameAESTHETIC DERMATOLOGY JONITH Y BREADON MD LTD
Location Address1009 W FULTON MARKETChicago, IL 60607-1222
Mailing Address1009 W Fulton MarketChicago, IL 60607-1222 · (312) 733-2492 · Fax (312) 733-2498
Fax(312) 733-2498
Organization SubpartNo
Authorized OfficialJonith BreadonOwner-proprietor-head Physician · (312) 733-2498
Enumeration DateFebruary 22, 2007
Last NPPES UpdateApril 20, 2008
NPI 1225163967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1009 W FULTON MARKET, Chicago, IL 60607

Other Identifiers 2

Other31602551IL · Blue Cross Blue Shield
Medicare PINL87823IL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
1009 W FULTON MARKET
CHICAGO, IL 60607
Physician Assistant
1009 W FULTON MARKET
CHICAGO, IL 60607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aesthetic Dermatology Jonith Y Breadon MD Ltd's NPI number?

The NPI number for Aesthetic Dermatology Jonith Y Breadon MD Ltd is 1225163967. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Aesthetic Dermatology Jonith Y Breadon MD Ltd located?

Aesthetic Dermatology Jonith Y Breadon MD Ltd is located at 1009 W Fulton Market, Chicago, IL 60607. The listed phone number is (312) 733-2492.

What is Aesthetic Dermatology Jonith Y Breadon MD Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Aesthetic Dermatology Jonith Y Breadon MD Ltd was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.