Antoine, John A
Antoine, John A is an individual health care provider with primary practice located at 5000 S 5Th Avenue, Plms 113 Edward Hines Va Hospital, Hines IL 60141-5113. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Antoine, John A can be contacted via phone (708) 202-2609.Contact Information
Primary practice address
5000 S 5Th Avenue, Plms 113 Edward Hines Va Hospital
Hines IL 60141-5113
Phone: (708) 202-2609
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036.103492 | Illinois |
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 036103492 | Illinois |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036103492 | Illinois |
Profile Details
| NPI number | 1548372972 |
|---|---|
| LBN Legal business name | Antoine, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 22nd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548372972 | NPPES |
| Indiana | MEDICAID | 200249680 |
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