John, Annie

John, Annie is an sole proprietor health care provider with primary practice located at 3434 W Peterson Ave 1A, Chicago IL 60659-3319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. John, Annie can be contacted via phone (773) 583-5803.

Contact Information

Primary practice address
3434 W Peterson Ave 1A Chicago IL 60659-3319
Phone: (773) 583-5803
Fax: (773) 248-2348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036068169 Illinois

Profile Details

NPI number 1225013998
LBN Legal business name John, Annie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2005
Last updated Jun 17th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225013998 NPPES
Illinois MEDICAID 036068169

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