Annie John, M.D.S.C.

LBN: Annie John, M.D.S.C.
Annie John, M.D.S.C. is an health care organization with primary practice located at 3434 W Peterson Ave 1A, Chicago IL 60659-3319. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. Annie John, M.D.S.C. can be contacted via phone (773) 583-5803, or through John, Annie via phone (773) 989-3977.

Contact Information

Primary practice address
3434 W Peterson Ave 1A Chicago IL 60659-3319
Phone: (773) 583-5803
Fax:
Website:
Map and Directions
Authorized official contact:
Name: John, Annie Doctor of Medicine (MD)
Phone: (773) 989-3977

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 209-003580 Illinois
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036-068169 Illinois

Profile Details

NPI number 1114909363
LBN Legal business name Annie John, M.D.S.C.
DBA Doing business as
Authorized official John, Annie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2005
Last updated Sep 14th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114909363 NPPES
Illinois MEDICAID 036068169

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