Jordan C. Carqueville, MD LLC
NPI 1710531330 · Dermatology Physician · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan C. Carqueville, MD LLC is a Dermatology Physician organization in Chicago, IL (NPI 1710531330).
Provider details
- NPI number
- 1710531330
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marc Wezowski, Managing Director(312) 319-1978
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Derm Institute of Chicago
Additional practice locations (3)
- 1945 W Wilson Ave Ste 6119Chicago, IL 60640-5259Phone: (312) 319-1978Fax: (312) 262-7791
- 920 N York Rd Ste 100Hinsdale, IL 60521-3515Phone: (312) 319-1978Fax: (312) 262-7791
- 4905 Old Orchard Ctr Lowr LevelSkokie, IL 60077-1458Phone: (312) 319-1978Fax: (312) 262-7791
Registry dates
- Enumerated
- 2019-07-31
- Last updated
- 2025-01-11
- Certified
- 2025-01-11
Frequently asked questions
- What is Jordan C. Carqueville, MD LLC's NPI number?
- Jordan C. Carqueville, MD LLC's National Provider Identifier (NPI) is 1710531330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jordan C. Carqueville, MD LLC?
- Jordan C. Carqueville, MD LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Jordan C. Carqueville, MD LLC located?
- Jordan C. Carqueville, MD LLC's practice location on file with NPPES is 737 N Michigan Ave Ste 720, Chicago, IL 60611-6661.
- What is Jordan C. Carqueville, MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Jordan C. Carqueville, MD LLC is (312) 319-1978.
- Does Jordan C. Carqueville, MD LLC accept Medicare?
- Jordan C. Carqueville, MD LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jordan C. Carqueville, MD LLC?
- The authorized official listed on Jordan C. Carqueville, MD LLC's NPPES record is Marc Wezowski, Managing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jordan C. Carqueville, MD LLC's NPI active?
- Yes — Jordan C. Carqueville, MD LLC's NPI (1710531330) is active in the NPPES registry as of the last update on 2025-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.