DERM INSTITUTE OF CHICAGO
NPI 1710531330
Dermatology in Chicago, IL

Q: What is Jordan C. Carqueville, MD LLC's NPI number?

The NPI number for Jordan C. Carqueville, MD LLC is 1710531330. It was assigned to this organization in the NPPES registry on July 31, 2019. The provider is doing business as Derm Institute Of Chicago.

Q: What is Jordan C. Carqueville, MD LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since July 31, 2019CLIA Certified · 4 labs

737 N MICHIGAN AVE STE 720, CHICAGO, IL 60611(312) 319-1978(312) 262-7791 Get Directions Write a Review

NPPES record last updated: January 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2025, Aug 8, 2023, Jan 9, 2023 and 3 more (6 updates tracked since 2019).

On this page

About Derm Institute Of Chicago NPPES

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

DERM INSTITUTE OF CHICAGO (NPI 1710531330) is a healthcare organization registered as a dermatology in Chicago, Illinois and active in the NPI registry since July 2019. The organization holds 4 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Marc Wezowski, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1710531330

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameJORDAN C. CARQUEVILLE, MD LLC

Location Address737 N MICHIGAN AVE STE 720Chicago, IL 60611-6661

Mailing Address920 N York Rd Ste 100Hinsdale, IL 60521-3515 · (312) 319-1978 · Fax (312) 262-7791

Phone(312) 319-1978

Fax(312) 262-7791

Organization SubpartNo

Authorized OfficialMarc WezowskiManaging Director · (312) 319-1978

Enumeration DateJuly 31, 2019

Last NPPES UpdateJanuary 11, 20256 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2025

✔ NPI 1710531330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

737 N MICHIGAN AVE STE 720, Chicago, IL 60611

Open in Google Maps ↗

Other Names 1

Doing Business AsDerm Institute Of Chicago

Secondary Practice Locations 3

Location 11945 W Wilson Ave Ste 6119Chicago, IL 60640-5259 · Phone (312) 319-1978 · Fax (312) 262-7791

Location 24905 Old Orchard Ctr Lowr LevelSkokie, IL 60077-1458 · Phone (312) 319-1978 · Fax (312) 262-7791

Location 3920 N York Rd Ste 100Hinsdale, IL 60521-3515 · Phone (312) 319-1978 · Fax (312) 262-7791

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2299279

Derm Institute Of Chicago · Chicago, IL

Active · expires Feb 15, 2028

CLIA Number14D2299279

Laboratory TypePhysician Office

Certificate Effective DateFebruary 16, 2026

Certificate Expiration DateFebruary 15, 2028

Laboratory DirectorJordan C. Carqueville

Laboratory Phone(312) 319-1978

Laboratory LocationDerm Institute Of Chicago1945 W Wilson Ave - Ste 6119, Chicago, IL 60640

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 14D2191022

Derm Institute Of Chicago · Chicago, IL

Active · expires Aug 30, 2027

CLIA Number14D2191022

Laboratory TypePhysician Office

Certificate Effective DateAugust 31, 2025

Certificate Expiration DateAugust 30, 2027

Laboratory DirectorJordan C. Carqueville

Laboratory Phone(312) 319-1978

Laboratory LocationDerm Institute Of Chicago737 North Michigan Avenue, Suite 720, Chicago, IL 60611

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 14D2230163

Derm Institute Of Chicago · Hinsdale, IL

Active · expires Jan 25, 2027

CLIA Number14D2230163

Laboratory TypePhysician Office

Certificate Effective DateJanuary 26, 2025

Certificate Expiration DateJanuary 25, 2027

Laboratory DirectorJordan C. Carqueville

Laboratory Phone(312) 319-1978

Laboratory LocationDerm Institute Of Chicago920 North York Road, Suite 100, Hinsdale, IL 60521

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 14D2238224

Derm Institute Of Chicago · Skokie, IL

Active · expires Apr 26, 2028

CLIA Number14D2238224

Laboratory TypePhysician Office

Certificate Effective DateApril 27, 2026

Certificate Expiration DateApril 26, 2028

Laboratory DirectorJordan C. Carqueville

Laboratory Phone(312) 319-1978

Laboratory LocationDerm Institute Of Chicago4999 Old Orchard Center, Suite L3, Skokie, IL 60077

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

DR. JORDAN CLAIRE CARQUEVILLE MD

Dermatology